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General NPI Number Information
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NPI Number | 1356547152
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Entity Type | Individual
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Provider Name | GREIG MONAKIL FLORENTO DDS
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Gender | Male
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13575 W INDIAN SCHOOL RD SUITE 600
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-4901
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Country | US
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Telephone | 623-932-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 10809 W JEFFERSON ST
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City | AVONDALE
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State | AZ
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Zip | 85323-3344
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Country | US
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Telephone | 623-536-0572
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D6994
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License Number State | AZ
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