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NPI 1902986078

NPI 1902986078 : PAUL J AFFLECK MD : ORO VALLEY, AZ

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General NPI Number Information
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    NPI Number           |    1902986078
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    Entity Type          |    Individual 
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    Provider Name        |    PAUL J AFFLECK MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/16/2006
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    Last Update Date     |    05/15/2025
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Provider Practice Location Address
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    Address Line         |    1551 E TANGERINE RD 
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    City                 |    ORO VALLEY
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    State                |    AZ
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    Zip                  |    85755-6213
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    Country              |    US
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    Telephone            |    520-901-3500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3340 NORTH CENTER ST #800
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    City                 |    LEHI
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    State                |    UT
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    Zip                  |    84043-7406
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    Country              |    US
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    Telephone            |    801-990-1911
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    Fax                  |    801-990-1912
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    26426
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    5217195-1205
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    License Number State |    UT
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