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General NPI Number Information
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NPI Number | 1164068862
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Entity Type | Organization
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Legal Business Name | DKME MANAGEMENT CORPORATION
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Dates
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Enumeration Date | 11/18/2019
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 16700 N THOMPSON PEAK PKWY STE 170
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2386
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Country | US
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Telephone | 480-750-7119
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Fax |
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Provider Business Mailing Address
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Address Line | 14075 N 106TH PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-1748
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Country | US
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Telephone | 801-682-3536
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/PHYSICIAN
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Name | DR. DENTON DAVENPORT
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Credential | DO
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Telephone | 602-475-5646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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