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General NPI Number Information
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NPI Number | 1114071388
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Entity Type | Organization
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Legal Business Name | APEX ENDODONTICS
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3303 S LINDSAY RD STE. 127
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City | GILBERT
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State | AZ
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Zip | 85296-6503
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Country | US
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Telephone | 480-699-2940
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Fax | 480-699-2941
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Provider Business Mailing Address
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Address Line | 3303 S LINDSAY RD STE. 127
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City | GILBERT
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State | AZ
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Zip | 85296-6503
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Country | US
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Telephone | 480-699-2940
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Fax | 480-699-2941
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Authorized Official
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Title or Position | OWNER
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Name | DR. IKE HARDY
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Credential | DMD
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Telephone | 480-699-2940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | D5593
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License Number State | AZ
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