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General NPI Number Information
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NPI Number | 1326442187
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Entity Type | Organization
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Legal Business Name | SARPOTDAR ORTHODONTICS, PLLC
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 13775 N. LITCHFIELD RD SUITE 108
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City | SURPRISE
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State | AZ
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Zip | 85379
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Country | US
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Telephone | 858-663-4694
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Fax |
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Provider Business Mailing Address
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Address Line | 20435 N 7TH ST #2019
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City | PHOENIX
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State | AZ
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Zip | 85024-6024
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Country | US
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Telephone | 858-663-4694
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. ANDREW P SARPOTDAR
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Credential | D.D.S., M.S.
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Telephone | 858-663-4694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | D008698
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License Number State | AZ
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