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General NPI Number Information
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NPI Number | 1053050179
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Entity Type | Individual
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Provider Name | ERIKA DU MOND DMD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2022
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Last Update Date | 05/27/2022
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Provider Practice Location Address
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Address Line | 20511 N HAYDEN RD STE 150
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-3879
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Country | US
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Telephone | 480-994-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 9082 E CASITAS DEL RIO DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-8344
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Country | US
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Telephone | 504-400-4454
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D011377
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License Number State | AZ
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