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General NPI Number Information
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NPI Number | 1205274388
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Entity Type | Individual
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Provider Name | MICHAELA TOZZI DMD
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Gender | Female
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Dates
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Enumeration Date | 06/11/2013
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 8975 S PECOS RD SUITE 5A
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City | HENDERSON
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State | NV
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Zip | 89074-7160
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Country | US
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Telephone | 702-630-8818
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Fax |
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Provider Business Mailing Address
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Address Line | 8975 S PECOS RD SUITE 5A
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City | HENDERSON
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State | NV
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Zip | 89074-7160
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Country | US
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Telephone | 702-630-8818
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | D008717
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6472
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License Number State | NV
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