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General NPI Number Information
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NPI Number | 1013303841
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Entity Type | Organization
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Legal Business Name | STENOPUNTIA LLC
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 7425 W PEORIA AVE STE 101
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City | PEORIA
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State | AZ
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Zip | 85345-5877
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Country | US
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Telephone | 623-848-1201
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Fax | 623-848-1236
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Provider Business Mailing Address
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Address Line | PO BOX 61025
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City | PHOENIX
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State | AZ
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Zip | 85082-1025
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MONICA DEWITT
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Credential |
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Telephone | 602-914-4274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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