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General NPI Number Information
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NPI Number | 1871243428
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Entity Type | Individual
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Provider Name | STEPHANIE SPERRAZZA
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Gender | Female
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Dates
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Enumeration Date | 03/26/2022
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 13657 W MCDOWELL RD STE 220
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City | GOODYEAR
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State | AZ
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Zip | 85395-2603
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Country | US
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Telephone | 623-848-5609
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Fax |
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Provider Business Mailing Address
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Address Line | 15509 N SCOTTSDALE RD UNIT 2008
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-3125
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Country | US
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Telephone | 561-685-1972
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 011739
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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