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General NPI Number Information
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NPI Number | 1841658440
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Entity Type | Organization
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Legal Business Name | AZ NEB SOURCE, INC
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Dates
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Enumeration Date | 02/10/2016
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 6424 E GREENWAY PKWY SUITE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2045
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Country | US
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Telephone | 480-213-7856
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Fax | 480-304-9293
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Provider Business Mailing Address
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Address Line | 6424 E GREENWAY PKWY # 100 SUITE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2045
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Country | US
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Telephone | 480-213-7856
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Fax | 480-304-9293
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Authorized Official
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Title or Position | CEO
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Name | MS. COLLEEN MURPHY
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Credential |
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Telephone | 480-213-7856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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