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General NPI Number Information
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NPI Number | 1942499942
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Entity Type | Organization
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Legal Business Name | ROBERT M DRYDEN MD LTD
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 1241 N WILMOT RD
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City | TUCSON
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State | AZ
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Zip | 85712-5154
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Country | US
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Telephone | 520-722-0909
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Fax | 520-722-6937
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Provider Business Mailing Address
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Address Line | 1241 N WILMOT RD
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City | TUCSON
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State | AZ
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Zip | 85712-5154
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Country | US
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Telephone | 520-722-0909
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Fax | 520-722-6937
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Authorized Official
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Title or Position | PATIENT ACCOUNT ADMINISTRATOR
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Name | CHRISTINE A DIORIO
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Credential |
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Telephone | 520-722-0909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 6151
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License Number State | AZ
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