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General NPI Number Information
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NPI Number | 1710757349
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Entity Type | Organization
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Legal Business Name | HEALTH SCOTTSDALE
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5111 N SCOTTSDALE RD STE 143
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-7076
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Country | US
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Telephone | 480-914-3320
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Fax |
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Provider Business Mailing Address
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Address Line | 9354 E THATCHER CIR
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City | MESA
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State | AZ
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Zip | 85212-8539
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Country | US
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Telephone | 480-670-6397
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Fax | 480-914-3345
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Authorized Official
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Title or Position | CEO/NP
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Name | MR. MATTHEW DERRICK MILLER
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Credential | NP
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Telephone | 480-670-6397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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