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General NPI Number Information
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NPI Number | 1760718621
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Entity Type | Organization
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Legal Business Name | CIGNA HEALTHCARE OF ARIZONA, INC.
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Dates
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Enumeration Date | 10/28/2009
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 13481 W MCDOWELL RD STE 100
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City | GOODYEAR
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State | AZ
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Zip | 85395-2720
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Country | US
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Telephone | 623-536-3720
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Fax | 623-536-3730
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Provider Business Mailing Address
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Address Line | 8888 E RAINTREE DR FL 3
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3951
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Country | US
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Telephone | 602-328-8400
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Fax | 623-277-1091
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | POOJA BHARDWAJA
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Credential | MD, MBA, FACP
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Telephone | 480-239-5812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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