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General NPI Number Information
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NPI Number | 1952436685
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Entity Type | Organization
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Legal Business Name | CA & AZ ORTHOPEDIC MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 1763 W 24TH ST
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City | YUMA
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State | AZ
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Zip | 85364-6219
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Country | US
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Telephone | 928-344-0466
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Fax | 928-341-0503
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Provider Business Mailing Address
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Address Line | PO BOX 5353
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City | YUMA
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State | AZ
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Zip | 85366-5353
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Country | US
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Telephone | 928-344-0466
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Fax | 928-341-0503
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ALAN R HOROWITCH
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Credential | MD
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Telephone | 928-344-0466
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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 | A21691
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License Number State | AZ
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