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General NPI Number Information
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NPI Number | 1831957836
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Entity Type | Organization
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Legal Business Name | VEINS AND VASCULAR CENTERS OF EXCELLENCE
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Dates
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Enumeration Date | 03/13/2024
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 1842 E BASELINE RD STE B1
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City | TEMPE
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State | AZ
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Zip | 85283-1514
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Country | US
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Telephone | 480-860-7310
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Fax | 888-440-6341
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Provider Business Mailing Address
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Address Line | 1842 E BASELINE RD STE B1
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City | TEMPE
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State | AZ
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Zip | 85283-1514
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Country | US
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Telephone | 480-860-7310
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Fax | 888-440-6341
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Authorized Official
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Title or Position | CEO
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Name | DR. CARLOS ECHEVARRIA
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Credential | MD
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Telephone | 310-722-9094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number |
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License Number State |
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