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General NPI Number Information
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NPI Number | 1932713088
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Entity Type | Organization
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Legal Business Name | EMERGENCY CONSULTANT LLC
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Dates
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Enumeration Date | 09/06/2020
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Last Update Date | 09/06/2020
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Provider Practice Location Address
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Address Line | 17470 N PACESETTER WAY
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-5445
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Country | US
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Telephone | 480-331-1247
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Fax |
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Provider Business Mailing Address
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Address Line | 17470 N PACESETTER WAY
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-5445
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | BABAK RASHIDI
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Credential | MD
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Telephone | 480-331-1247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number |
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License Number State |
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