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General NPI Number Information
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NPI Number | 1912443060
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Entity Type | Organization
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Legal Business Name | XENON ANESTHESIA OF ARIZONA PLLC
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 01/13/2017
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Provider Practice Location Address
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Address Line | 6464 W SUNSET BLVD
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City | HOLLYWOOD
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State | CA
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Zip | 90028-8001
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Country | US
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Telephone | 323-417-0335
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Fax | 646-304-1681
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Provider Business Mailing Address
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Address Line | 6464 W SUNSET BLVD
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City | HOLLYWOOD
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State | CA
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Zip | 90028-8001
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Country | US
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Telephone | 323-417-0335
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Fax | 646-304-1681
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HAROON CHAUDHRY
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Credential | MD
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Telephone | 323-417-0335
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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 | 45456
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License Number State | AZ
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