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General NPI Number Information
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NPI Number | 1881048650
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Entity Type | Organization
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Legal Business Name | ARIZONA BRAIN AND SPINE CENTER, PLLC
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Dates
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Enumeration Date | 04/19/2016
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 11000 N SCOTTSDALE RD STE 240
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5111
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Country | US
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Telephone | 602-396-7363
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Fax | 602-266-2927
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Provider Business Mailing Address
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Address Line | 11000 N SCOTTSDALE RD STE 240
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5111
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Country | US
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Telephone | 602-396-7363
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Fax | 602-266-2927
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. AMBER N HENRY
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Credential | FACMPE
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Telephone | 602-396-7363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 1120808
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License Number State | AZ
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