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General NPI Number Information
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NPI Number | 1992097828
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Entity Type | Organization
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Legal Business Name | ARIZONA MEDICAL INFUSION
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 20650 N 29TH PL STE 105
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City | PHOENIX
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State | AZ
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Zip | 85050-4782
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Country | US
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Telephone | 602-788-3400
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Fax | 602-445-9265
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Provider Business Mailing Address
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Address Line | 20650 N 29TH PL STE 105
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City | PHOENIX
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State | AZ
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Zip | 85050-4782
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Country | US
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Telephone | 602-788-3400
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Fax | 602-445-9265
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY SAMMARTINO
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Credential | RPH
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Telephone | 602-788-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA5086
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License Number State | AZ
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