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General NPI Number Information
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NPI Number | 1790948495
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Entity Type | Organization
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Legal Business Name | NORTHERN ARIZONA MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 3879 N PAINTED TRL
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City | KINGMAN
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State | AZ
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Zip | 86409-1244
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Country | US
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Telephone | 928-757-1333
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Fax |
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Provider Business Mailing Address
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Address Line | 3879 N PAINTED TRL
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City | KINGMAN
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State | AZ
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Zip | 86409-1244
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ZAFFAR IQBAL
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Credential | MD
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Telephone | 928-757-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 32218
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License Number State | AZ
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