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General NPI Number Information
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NPI Number | 1033746045
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Entity Type | Individual
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Provider Name | SCOTT JOSEPH LOMBARDI DDS
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Gender | Male
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 3707 E SOUTHERN AVE
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City | MESA
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State | AZ
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Zip | 85206-2569
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Country | US
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Telephone | 602-459-7456
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Fax |
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Provider Business Mailing Address
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Address Line | 733 E WINDSONG DR
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City | PHOENIX
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State | AZ
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Zip | 85048-2069
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Country | US
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Telephone | 661-713-7698
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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 | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | D011842
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License Number State | AZ
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