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General NPI Number Information
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NPI Number | 1932356805
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Entity Type | Individual
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Provider Name | MARK RICHARD PIPHER D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2008
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Last Update Date | 03/21/2017
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Provider Practice Location Address
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Address Line | 1520 S DOBSON RD SUITE 307
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City | MESA
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State | AZ
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Zip | 85202-4725
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Country | US
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Telephone | 480-844-8218
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Fax | 480-800-6647
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Provider Business Mailing Address
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Address Line | 1520 S DOBSON RD SUITE 307
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City | MESA
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State | AZ
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Zip | 85202-4725
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Country | US
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Telephone | 480-844-8218
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Fax | 480-800-6647
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 5901002239
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 692
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License Number State | AZ
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