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General NPI Number Information
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NPI Number | 1194483974
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Entity Type | Organization
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Legal Business Name | ONET DENTISTRY LLC
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Dates
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Enumeration Date | 11/29/2021
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 13925 W MEEKER BLVD STE 13-15
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-4430
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Country | US
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Telephone | 623-556-5006
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Fax | 623-556-5564
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Provider Business Mailing Address
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Address Line | 20280 N 59TH AVE STE 115-318
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City | GLENDALE
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State | AZ
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Zip | 85308-6850
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Country | US
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Telephone | 623-556-5006
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Fax | 623-556-5664
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Authorized Official
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Title or Position | DENTIST
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Name | DANA ONET
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Credential |
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Telephone | 623-556-5006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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