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General NPI Number Information
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NPI Number | 1982736229
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Entity Type | Organization
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Legal Business Name | DESERT UROLOGY CONSULTANTS PC
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1520 S DOBSON RD SUITE 206
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City | MESA
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State | AZ
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Zip | 85202-4725
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Country | US
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Telephone | 480-833-7000
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Fax | 480-833-5666
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Provider Business Mailing Address
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Address Line | 1520 S DOBSON RD SUITE 206
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City | MESA
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State | AZ
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Zip | 85202-4725
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Country | US
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Telephone | 480-833-7000
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Fax | 480-833-5666
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT SCOTT SHAHON
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Credential | MD
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Telephone | 480-833-7000
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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 | 19356
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License Number State | AZ
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