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NPI 1205949898

NPI 1205949898 : ROBERT G MCCALL DDS PC : SUN CITY WEST, AZ

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General NPI Number Information
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    NPI Number           |    1205949898
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBERT G MCCALL DDS PC 
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Dates
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    Enumeration Date     |    08/16/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    13540 CAMINO DEL SOL SUITE 3
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    City                 |    SUN CITY WEST
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    State                |    AZ
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    Zip                  |    85375-4435
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    Country              |    US
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    Telephone            |    623-584-4600
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    Fax                  |    623-546-1094
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Provider Business Mailing Address
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    Address Line         |    5223 E HASHKNIFE RD 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85054
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    Country              |    US
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    Telephone            |    480-699-9372
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ROBERT GUTHRIE MCCALL 
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    Credential           |    DDS
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    Telephone            |    623-584-4600
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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       |    1499
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    License Number State |    AZ
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