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General NPI Number Information
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NPI Number | 1811198864
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Entity Type | Organization
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Legal Business Name | DRS SEIN AND OHN PC
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 919 12TH PL #6
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City | PRESCOTT
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State | AZ
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Zip | 86305-1433
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Country | US
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Telephone | 928-445-4166
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Fax | 928-776-9668
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Provider Business Mailing Address
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Address Line | 919 12TH PL #6
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City | PRESCOTT
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State | AZ
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Zip | 86305-1433
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Country | US
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Telephone | 928-445-4166
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Fax | 928-776-9668
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. PAULA Y BISHOP
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Credential |
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Telephone | 928-445-4244
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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 | 13862
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 13863
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License Number State | AZ
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