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General NPI Number Information
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NPI Number | 1922270339
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Entity Type | Organization
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Legal Business Name | JOEL P. MASCARO, D.O., P.C.
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 9449 N 90TH ST SUITE 114
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5099
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Country | US
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Telephone | 480-214-3313
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Fax |
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Provider Business Mailing Address
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Address Line | 11681 E BELLA VISTA DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-6360
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Country | US
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Telephone | 602-431-1152
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Fax | 602-431-2149
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOEL P MASCARO
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Credential | D.O.
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Telephone | 602-431-1152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3250
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License Number State | AZ
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