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NPI 1952846040

NPI 1952846040 : PURCELL ORTHOPEDIC INSTITUTE PC : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1952846040
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    Entity Type          |    Organization 
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    Legal Business Name  |    PURCELL ORTHOPEDIC INSTITUTE PC 
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Dates
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    Enumeration Date     |    12/27/2016
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    Last Update Date     |    12/27/2016
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Provider Practice Location Address
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    Address Line         |    4921 E BELL RD SUITE 205
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85254-6002
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    Country              |    US
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    Telephone            |    480-737-4140
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4921 E BELL RD SUITE 205
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85254-6002
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    Country              |    US
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    Telephone            |    480-737-4140
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |    DR. RALPH NORMAN PURCELL 
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    Credential           |    M.D.
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    Telephone            |    480-737-4140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    42329
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    License Number State |    AZ
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