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General NPI Number Information
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NPI Number | 1841263704
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Entity Type | Organization
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Legal Business Name | ARIZONA PEDIATRIC PULMONARY & ASTHMA ASSOCIATES, P.L.C.
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 500 W THOMAS RD SUITE 200
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City | PHOENIX
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State | AZ
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Zip | 85013-4224
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Country | US
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Telephone | 602-200-9159
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Fax | 602-200-9949
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Provider Business Mailing Address
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Address Line | 500 W THOMAS RD STE 220
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City | PHOENIX
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State | AZ
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Zip | 85013-4215
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Country | US
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Telephone | 602-200-9159
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Fax | 602-200-9949
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MS. CYNTHIA L LEGRIS
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Credential | N.P.
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Telephone | 602-200-9159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number |
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License Number State |
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