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General NPI Number Information
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NPI Number | 1013182567
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Entity Type | Organization
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Legal Business Name | PINNACLE PEAK DENTALCARE
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 8900 E PINNACLE PEAK RD SUITE 210
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-3644
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Country | US
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Telephone | 480-659-9499
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Fax | 480-659-3609
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Provider Business Mailing Address
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Address Line | 8900 E PINNACLE PEAK RD SUITE 210
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-3644
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Country | US
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Telephone | 480-659-9499
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Fax | 480-659-3609
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. SHAWN ENGLISH
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Credential |
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Telephone | 480-659-9499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | D7275
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License Number State | AZ
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