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General NPI Number Information
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NPI Number | 1760924187
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Entity Type | Organization
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Legal Business Name | CENTER FOR ENDOCRINE AND PANCREAS SURGERY
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Dates
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Enumeration Date | 11/16/2016
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 4830 N 65TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-1044
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Country | US
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Telephone | 602-329-3933
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Fax |
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Provider Business Mailing Address
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Address Line | 4830 N 65TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-1044
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Country | US
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Telephone | 602-329-3933
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY ANTHONY VAN LIER RIBBINK
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Credential | M.D.
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Telephone | 602-329-3933
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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 | 18860
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License Number State | AZ
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