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General NPI Number Information
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NPI Number | 1750589404
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Entity Type | Organization
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Legal Business Name | ARIZONA OB GYN AFFILIATES PC
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Dates
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Enumeration Date | 07/04/2007
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1661 E CAMELBACK RD STE 160
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City | PHOENIX
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State | AZ
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Zip | 85016-3921
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Country | US
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Telephone | 623-231-3686
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Fax |
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Provider Business Mailing Address
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Address Line | 1661 E CAMELBACK RD STE 200
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City | PHOENIX
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State | AZ
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Zip | 85016-3913
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Country | US
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Telephone | 623-231-3686
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. ANDREW VILLA
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Credential |
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Telephone | 623-231-3686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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