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General NPI Number Information
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NPI Number | 1285936336
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Entity Type | Organization
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Legal Business Name | A-Z DENTURE CENTER
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 19082 N. RH JOHNSON BLVD
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City | SUN CITY WEST
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State | AZ
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Zip | 85375
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Country | US
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Telephone | 623-214-7898
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Fax |
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Provider Business Mailing Address
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Address Line | 19082 N. RH JOHNSON BLVD
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City | SUN CITY WEST
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State | AZ
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Zip | 85375
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Country | US
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Telephone | 623-214-7898
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. LAMEH I SABBAGH
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Credential |
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Telephone | 623-214-7898
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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 | D02575
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License Number State | AZ
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