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General NPI Number Information
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NPI Number | 1811891765
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Entity Type | Organization
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Legal Business Name | NADINE K MIRZAYAN MD LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 7545 E ANGUS DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6409
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Country | US
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Telephone | 480-664-0125
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Fax |
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Provider Business Mailing Address
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Address Line | 12401 N 68TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4538
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Country | US
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Telephone | 949-933-6237
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NADINE FRIEDMAN
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Credential | MD
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Telephone | 949-933-6237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | NULL
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