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NPI 1689907453

NPI 1689907453 : ANTHONY C. POZUN, D.O., PLLC : GLENDALE, AZ

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General NPI Number Information
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    NPI Number           |    1689907453
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANTHONY C. POZUN, D.O., PLLC 
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Dates
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    Enumeration Date     |    09/11/2009
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    Last Update Date     |    09/11/2009
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Provider Practice Location Address
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    Address Line         |    5620 W THUNDERBIRD RD SUITE E-1
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    City                 |    GLENDALE
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    State                |    AZ
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    Zip                  |    85306-4636
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    Country              |    US
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    Telephone            |    602-978-0154
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    Fax                  |    602-978-2797
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Provider Business Mailing Address
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    Address Line         |    5620 W THUNDERBIRD RD SUITE E-1
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    City                 |    GLENDALE
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    State                |    AZ
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    Zip                  |    85306-4636
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    Country              |    US
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    Telephone            |    602-978-0154
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    Fax                  |    602-978-2797
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. ANTHONY CHRISTOPHER POZUN 
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    Credential           |    D.O.
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    Telephone            |    602-978-0154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    3684
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    License Number State |    AZ
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