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General NPI Number Information
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NPI Number | 1063577393
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Entity Type | Organization
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Legal Business Name | VANDER SCHAAF PC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7301 E THOMAS ROAD
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-7215
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Country | US
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Telephone | 480-994-5225
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Fax | 480-947-8866
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Provider Business Mailing Address
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Address Line | 7301 E THOMAS ROAD
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-7215
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Country | US
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Telephone | 480-994-5225
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Fax | 480-947-8866
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BETH D VANDER SCHAAF
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Credential | DDS
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Telephone | 480-994-5225
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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 | 4398
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4426
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License Number State | AZ
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