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General NPI Number Information
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NPI Number | 1932312188
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Entity Type | Organization
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Legal Business Name | CAROL J PEAIRS MD
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 5901 E VIA DEL CIELO
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-8107
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Country | US
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Telephone | 480-443-9186
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Fax | 602-971-1706
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Provider Business Mailing Address
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Address Line | PO BOX 30305
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City | PHOENIX
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State | AZ
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Zip | 85046-0305
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Country | US
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Telephone | 602-971-7073
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Fax | 602-971-1706
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Authorized Official
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Title or Position | OWNER
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Name | CAROL PEAIRS
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Credential | MD
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Telephone | 602-867-3270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 15474
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License Number State | AZ
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