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General NPI Number Information
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NPI Number | 1932724796
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Entity Type | Individual
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Provider Name | SHAJU FRANCIS
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Gender | Male
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Dates
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Enumeration Date | 06/08/2020
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 1955 W FRYE RD
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City | CHANDLER
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State | AZ
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Zip | 85224-6282
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Country | US
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Telephone | 480-507-2961
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Fax | 480-507-2971
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Provider Business Mailing Address
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Address Line | 2142 E YELLOWSTONE PL
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City | CHANDLER
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State | AZ
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Zip | 85249-3483
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Country | US
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Telephone | 480-272-7480
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN175282
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 244454
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License Number State | AZ
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