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NPI 1790447696

NPI 1790447696 : SELTZER MEDICAL LEGAL CONSULTING, LLC : PEORIA, AZ

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General NPI Number Information
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    NPI Number           |    1790447696
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    Entity Type          |    Organization 
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    Legal Business Name  |    SELTZER MEDICAL LEGAL CONSULTING, LLC 
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Dates
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    Enumeration Date     |    10/07/2021
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    Last Update Date     |    10/07/2021
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Provider Practice Location Address
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    Address Line         |    7797 W PARADISE LN STE 130 
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    City                 |    PEORIA
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    State                |    AZ
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    Zip                  |    85382-5011
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    Country              |    US
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    Telephone            |    623-547-7502
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    Fax                  |    623-414-3503
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Provider Business Mailing Address
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    Address Line         |    7797 W PARADISE LN STE 130 
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    City                 |    PEORIA
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    State                |    AZ
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    Zip                  |    85382-5011
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    Country              |    US
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    Telephone            |    623-547-7502
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    Fax                  |    623-414-3503
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. DANA GEORGES SELTZER 
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    Credential           |    MD
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    Telephone            |    602-791-7704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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