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1033639687
CHANI MARIE TAGGART
PHOENIX, AZ
NPI
1033639687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: ND RL14698)
Additional Taxonomies
208600000X Surgery
(Licence: AZ 010214)
Enumeration Date
2017-06-26
Last Update Date
2023-09-14
Business Address
CHANI MARIE TAGGART DO
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-5011
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Mailing Address
CHANI MARIE TAGGART DO
2929 E THOMAS RD
PHOENIX, AZ 85016-8034
Phone number: 024-705-0646
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