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General NPI Number Information
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NPI Number | 1902768070
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Entity Type | Organization
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Legal Business Name | ROADRUNNER SURGICAL FIRST ASSIST, LLC
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 1776 N SCOTTSDALE RD #368
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City | SCOTTSDALE
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State | AZ
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Zip | 85252-0368
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Country | US
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Telephone | 480-201-5264
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Fax | 480-393-1970
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Provider Business Mailing Address
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Address Line | 1776 N SCOTTSDALE RD #368
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City | SCOTTSDALE
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State | AZ
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Zip | 85252-0368
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Country | US
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Telephone | 480-201-5264
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Fax | 480-393-1970
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MICHELE TUCKER
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Credential | CPC
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Telephone | 480-201-5264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number |
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License Number State |
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