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General NPI Number Information
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NPI Number | 1386242691
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Entity Type | Individual
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Provider Name | SHAWN MAULE DDS
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Gender | Male
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Dates
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Enumeration Date | 10/09/2020
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Last Update Date | 10/09/2020
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Provider Practice Location Address
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Address Line | 2901 S 6TH AVE
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City | SOUTH TUCSON
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State | AZ
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Zip | 85713-4706
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Country | US
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Telephone | 520-357-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 7527 E PARADISE DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-5437
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Country | US
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Telephone | 602-705-9168
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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 | D010881
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License Number State | AZ
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