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General NPI Number Information
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NPI Number | 1801822119
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Entity Type | Organization
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Legal Business Name | FETAL AND WOMEN'S CENTER OF ARIZONA, LLC
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 9440 E IRONWOOD SQUARE DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4569
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Country | US
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Telephone | 480-756-6000
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Fax | 480-467-2165
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Provider Business Mailing Address
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Address Line | 9440 E IRONWOOD SQUARE DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4569
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Country | US
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Telephone | 480-756-6000
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Fax | 480-467-2165
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Authorized Official
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Title or Position | CEO
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Name | BERKELEY GEDDES
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Credential |
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Telephone | 480-756-6000
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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 |
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License Number State | AZ
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