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General NPI Number Information
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NPI Number | 1770810657
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Entity Type | Organization
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Legal Business Name | BRIAN CAFARO, MD, PC
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Dates
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Enumeration Date | 11/12/2009
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Last Update Date | 10/31/2011
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Provider Practice Location Address
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Address Line | 3055 N RED MTN #170
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City | MESA
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State | AZ
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Zip | 85207-1002
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Country | US
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Telephone | 480-455-7444
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Fax |
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Provider Business Mailing Address
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Address Line | 3055 N RED MTN #170
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City | MESA
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State | AZ
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Zip | 85207-1002
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Country | US
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Telephone | 480-455-7444
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | BRIAN P CAFARO
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Credential |
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Telephone | 480-455-7444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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