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General NPI Number Information
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NPI Number | 1861547838
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Entity Type | Organization
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Legal Business Name | DANIEL REMEN MD
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 6036 N 19TH AVE STE 502
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City | PHOENIX
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State | AZ
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Zip | 85015-2143
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Country | US
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Telephone | 480-361-7680
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Fax | 480-361-7683
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Provider Business Mailing Address
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Address Line | PO BOX 94568
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City | PHOENIX
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State | AZ
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Zip | 85070-4568
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Country | US
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Telephone | 480-361-7680
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Fax | 480-361-7683
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MISS CAMILLE M DURAN
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Credential |
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Telephone | 480-361-7680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 7845
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License Number State | AZ
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