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General NPI Number Information
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NPI Number | 1295963197
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Entity Type | Individual
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Provider Name | MIRIAM SLOAN DDS
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Gender | Female
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 1 CHOCTAW WAY
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City | TALIHINA
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State | OK
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Zip | 74571-2022
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Country | US
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Telephone | 918-567-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 3651 E FAIRFIELD ST
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City | MESA
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State | AZ
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Zip | 85205-4967
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Country | US
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Telephone | 602-463-9258
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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 | DN014357
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License Number State | GA
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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 | 25179
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License Number State | TX
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