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General NPI Number Information
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NPI Number | 1831460138
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Entity Type | Organization
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Legal Business Name | GADS PAIN MANAGEMENT LLC
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 01/18/2012
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Provider Practice Location Address
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Address Line | 668 N 44TH ST #101W
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City | PHOENIX
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State | AZ
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Zip | 85008-6506
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Country | US
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Telephone | 602-308-7893
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Fax | 602-308-7841
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Provider Business Mailing Address
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Address Line | 668 N 44TH ST #101W
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City | PHOENIX
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State | AZ
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Zip | 85008-6506
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Country | US
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Telephone | 602-308-7893
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Fax | 602-308-7841
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Authorized Official
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Title or Position | OWNER
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Name | DR. MAGDY ISAAK GAD
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Credential | M.D.
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Telephone | 602-308-7893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 30282
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License Number State | AZ
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