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General NPI Number Information
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NPI Number | 1770862484
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Entity Type | Organization
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Legal Business Name | VEIN SPECIALISTS OF ARIZONA LLC
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Dates
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Enumeration Date | 08/11/2011
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 9515 W CAMELBACK RD SUITE 108
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City | PHOENIX
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State | AZ
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Zip | 85037-1355
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Country | US
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Telephone | 623-428-0068
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Fax | 623-428-0069
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Provider Business Mailing Address
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Address Line | 9515 W CAMELBACK RD SUITE 108
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City | PHOENIX
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State | AZ
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Zip | 85037-1355
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Country | US
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Telephone | 623-428-0068
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Fax | 623-428-0069
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY ALPERN
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Credential | D.O.
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Telephone | 610-737-4445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 3749
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License Number State | AZ
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