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General NPI Number Information
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NPI Number | 1235006875
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Entity Type | Organization
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Legal Business Name | ANTHEM ENDO PLLC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 42104 N VENTURE DR STE B134
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City | ANTHEM
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State | AZ
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Zip | 85086-3830
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Country | US
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Telephone | 623-250-0184
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Fax |
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Provider Business Mailing Address
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Address Line | 42104 N VENTURE DR STE B134
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City | ANTHEM
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State | AZ
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Zip | 85086-3830
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Country | US
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Telephone | 623-250-0184
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | ERIK JOHN FOISY
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Credential | DMD
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Telephone | 702-622-5123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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