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General NPI Number Information
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NPI Number | 1154545218
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Entity Type | Organization
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Legal Business Name | STEVE PATRICK PURTELL DDS PC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5641 E GRANDVIEW RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-1281
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Country | US
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Telephone | 602-971-3278
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Fax |
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Provider Business Mailing Address
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Address Line | 6945 E SAHUARO DR B 2
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6722
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Country | US
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Telephone | 480-443-3339
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Fax | 480-443-8789
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. STEVE PATRICK PURTELL
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Credential | DDS
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Telephone | 480-443-3339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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