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NPI 1831159151

NPI 1831159151 : JANELLE A. Y. ENGEL MD : MESA, AZ

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General NPI Number Information
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    NPI Number           |    1831159151
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    Entity Type          |    Individual 
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    Provider Name        |    JANELLE A. Y. ENGEL MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/23/2006
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    Last Update Date     |    05/24/2012
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Provider Practice Location Address
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    Address Line         |    1520 S. DOBSON ROAD SUITE 305
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    City                 |    MESA
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    State                |    AZ
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    Zip                  |    85202
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    Country              |    US
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    Telephone            |    480-539-4000
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    Fax                  |    480-833-3040
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Provider Business Mailing Address
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    Address Line         |    2222 E. HIGHLAND AVE SUITE 204
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85016-4876
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    Country              |    US
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    Telephone            |    602-257-4219
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    Fax                  |    602-257-8319
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Y00000X
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    Taxonomy Name        |    Otolaryngology Physician
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    License Number       |    11923
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    207Y00000X
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    Taxonomy Name        |    Otolaryngology Physician
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    License Number       |    G32013
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    License Number State |    CA
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