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General NPI Number Information
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NPI Number | 1922382712
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Entity Type | Organization
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Legal Business Name | PULMONARY CLINICS OF SCOTTSDALE, PLLC
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 11/14/2014
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Provider Practice Location Address
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Address Line | 10250 N 92ND ST SUITE 300
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4510
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Country | US
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Telephone | 480-970-9649
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Fax | 480-970-9532
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Provider Business Mailing Address
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Address Line | 15029 N THOMPSON PEAK PKWY SUITE B111-525
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2217
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Country | US
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Telephone | 480-970-9649
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Fax | 480-970-9532
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Authorized Official
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Title or Position | OWNERPHYSICIAN
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Name | DR. INFAN KHALID
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Credential | MD
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Telephone | 480-970-9649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 32659
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License Number State | AZ
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