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General NPI Number Information
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NPI Number | 1992785745
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Entity Type | Individual
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Provider Name | JOSEPH A HOUK PA
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Gender | Male
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 10/20/2008
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Provider Practice Location Address
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Address Line | 1840 S STAPLEY DR
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City | MESA
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State | AZ
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Zip | 85204-6681
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Country | US
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Telephone | 480-464-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 11001 N BLACK CANYON HWY
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City | PHOENIX
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State | AZ
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Zip | 85029-4757
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Country | US
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Telephone | 602-942-4464
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1100
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License Number State | AZ
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