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General NPI Number Information
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NPI Number | 1932133956
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Entity Type | Organization
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Legal Business Name | PHOENIX GI ASSOCIATES PC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 9305 W THOMAS RD SUITE 360
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City | PHOENIX
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State | AZ
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Zip | 85037-3328
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Country | US
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Telephone | 623-907-8686
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Fax | 623-907-8440
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Provider Business Mailing Address
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Address Line | PO BOX 1040
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City | TOLLESON
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State | AZ
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Zip | 85353-1040
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Country | US
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Telephone | 623-907-8686
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Fax | 623-907-8440
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. NADEEM A. KHAN
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Credential | M.D.
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Telephone | 623-907-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 34528
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License Number State | AZ
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