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General NPI Number Information
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NPI Number | 1730783523
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Entity Type | Organization
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Legal Business Name | ORTHOARIZONA SCOTTSDALE ASC, LLC
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Dates
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Enumeration Date | 11/23/2020
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 8405 N PIMA CENTER PARKWAY, SUITE 102
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City | SCOTTSDALE
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State | AZ
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Zip | 85258
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Country | US
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Telephone | 480-812-5313
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Fax |
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Provider Business Mailing Address
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Address Line | 3033 N 44TH ST STE 200
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City | PHOENIX
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State | AZ
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Zip | 85018-7244
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Country | US
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Telephone | 480-207-3717
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Fax |
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | GLEN REINER
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Credential |
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Telephone | 480-739-2705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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