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General NPI Number Information
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NPI Number | 1710703251
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Entity Type | Individual
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Provider Name | TAYLOR LEIGH-ANNE SHAW PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/30/2024
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Last Update Date | 11/30/2024
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Provider Practice Location Address
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Address Line | 8415 N PIMA RD STE 290
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4488
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Country | US
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Telephone | 480-434-6565
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Fax |
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Provider Business Mailing Address
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Address Line | 3390 S SUNLAND DR
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City | CHANDLER
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State | AZ
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Zip | 85248-4015
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Country | US
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Telephone | 518-928-9215
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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