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General NPI Number Information
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NPI Number | 1750469631
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Entity Type | Individual
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Provider Name | AMAN PAUL MANSURY MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2174 W OAK AVE
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City | DOUGLAS
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State | AZ
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Zip | 85607-6003
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Country | US
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Telephone | 520-364-7931
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Fax | 520-364-2551
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Provider Business Mailing Address
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Address Line | 610 E BELL RD
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City | PHOENIX
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State | AZ
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Zip | 85022-2393
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Country | US
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Telephone | 623-856-7517
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 21183
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License Number State | AZ
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