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NPI 1942249495

NPI 1942249495 : ROXANNE M. HECHT MD : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1942249495
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    Entity Type          |    Individual 
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    Provider Name        |    ROXANNE M. HECHT MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/06/2006
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    Last Update Date     |    07/13/2016
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Provider Practice Location Address
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    Address Line         |    2525 E ROOSEVELT ST 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85008-4948
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    Country              |    US
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    Telephone            |    602-344-5343
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    Fax                  |    602-344-5859
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Provider Business Mailing Address
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    Address Line         |    2929 E THOMAS RD 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85016-8034
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    Country              |    US
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    Telephone            |    602-470-5000
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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        |    2080P0206X
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    Taxonomy Name        |    Pediatric Gastroenterology Physician
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    License Number       |    11952
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    License Number State |    AZ
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