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General NPI Number Information
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NPI Number | 1063561553
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Entity Type | Individual
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Provider Name | DIANA A. BATOON DMD
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Gender | Female
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 11111 N SCOTTSDALE RD SUITE # 130
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6734
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Country | US
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Telephone | 480-776-0643
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Fax |
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Provider Business Mailing Address
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Address Line | 11111 N SCOTTSDALE RD STE 130
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6734
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Country | US
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Telephone | 480-776-0643
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Fax | 480-776-0647
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 4819
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 4819
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 4819
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4819
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License Number State | AZ
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