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General NPI Number Information
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NPI Number | 1740476217
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Entity Type | Individual
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Provider Name | MONA S AMIN D.O.
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Gender | Female
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 5681 W BEVERLY LN STE 100
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City | GLENDALE
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State | AZ
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Zip | 85306-9800
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Country | US
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Telephone | 480-443-8400
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Fax | 480-443-8697
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Provider Business Mailing Address
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Address Line | 4550 E BELL RD SUITE 170
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City | PHOENIX
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State | AZ
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Zip | 85032-9306
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Country | US
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Telephone | 480-443-8400
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Fax | 480-443-8697
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 25MB08315000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 5599
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License Number State | AZ
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