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General NPI Number Information
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NPI Number | 1710046081
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Entity Type | Individual
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Provider Name | JAYANT RAGHUNATH GEETE M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 650 E INDIAN SCHOOL RD 116-A
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City | PHOENIX
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State | AZ
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Zip | 85012-1839
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Country | US
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Telephone | 602-222-2752
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Fax | 602-222-2723
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Provider Business Mailing Address
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Address Line | 8727 E MITCHELL DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5060
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Country | US
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Telephone | 602-635-6319
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 32466
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35696
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License Number State | KY
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