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General NPI Number Information
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NPI Number | 1073728028
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Entity Type | Organization
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Legal Business Name | MARK K MCALISTER D.D.S.,M.S.,PC
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Dates
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Enumeration Date | 05/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 702 E BELL RD STE 100
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City | PHOENIX
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State | AZ
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Zip | 85022-6639
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Country | US
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Telephone | 602-482-8841
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Fax | 602-788-1804
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Provider Business Mailing Address
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Address Line | 702 E BELL RD STE 100
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City | PHOENIX
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State | AZ
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Zip | 85022-6639
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Country | US
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Telephone | 602-482-8841
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Fax | 602-788-1804
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK K MCALISTER
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Credential | D.D.S.
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Telephone | 602-482-8841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | D-5236
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License Number State | AZ
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