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General NPI Number Information
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NPI Number | 1134665821
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Entity Type | Organization
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Legal Business Name | A PLUS DENTAL
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Dates
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Enumeration Date | 01/18/2017
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 235 W WESTERN AVE STE 7
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City | AVONDALE
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State | AZ
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Zip | 85323-1848
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Country | US
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Telephone | 623-925-1426
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 734
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-0734
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Country | US
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Telephone | 623-547-1900
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD CHOPRA
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Credential | DDS
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Telephone | 623-547-1900
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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 | D04724
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License Number State | AZ
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