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General NPI Number Information
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NPI Number | 1013698927
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Entity Type | Organization
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Legal Business Name | COMPLETE SMILES MOUNTAIN VIEW - ACCELERATE LLC
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Dates
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Enumeration Date | 07/25/2023
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 5481 W 7800 S STE 150
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City | WEST JORDAN
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State | UT
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Zip | 84081-6030
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Country | US
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Telephone | 801-885-2334
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Fax | 385-359-0032
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Provider Business Mailing Address
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Address Line | 5481 W 7800 S STE 150
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City | WEST JORDAN
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State | UT
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Zip | 84081-6030
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Country | US
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Telephone | 801-885-2334
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Fax |
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Authorized Official
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Title or Position | FRONT OFFICE LEAD
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Name | TIANA ROSE ROPER
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Credential |
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Telephone | 801-885-2334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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