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General NPI Number Information
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NPI Number | 1912938655
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Entity Type | Organization
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Legal Business Name | ARIZONA UROLOGY AND INFERTILITY
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5757 W THUNDERBIRD RD
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City | GLENDALE
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State | AZ
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Zip | 85306-4641
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Country | US
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Telephone | 602-395-0718
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Fax | 602-277-8146
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Provider Business Mailing Address
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Address Line | 5757 W THUNDERBIRD RD
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City | GLENDALE
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State | AZ
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Zip | 85306-4641
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Country | US
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Telephone | 602-395-0718
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Fax | 602-277-8146
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | PAUL M BLOCK, MD
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Credential | MD
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Telephone | 602-395-0718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 13694
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License Number State | AZ
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