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General NPI Number Information
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NPI Number | 1942417589
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Entity Type | Organization
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Legal Business Name | ARIZONA OBSTETRICS & GYNECOLOGY PC
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 6525 W SACK DR SUITE 208
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City | GLENDALE
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State | AZ
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Zip | 85308-7104
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Country | US
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Telephone | 623-566-2004
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Fax | 623-566-2060
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Provider Business Mailing Address
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Address Line | 6525 W SACK DR SUITE 208
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City | GLENDALE
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State | AZ
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Zip | 85308-7104
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Country | US
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Telephone | 623-566-2004
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Fax | 623-566-2060
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT A SARETSKY
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Credential | D.O.
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Telephone | 623-566-2004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | DO1578
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License Number State | AZ
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