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General NPI Number Information
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NPI Number | 1386258689
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Entity Type | Individual
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Provider Name | JOSHUA DUTTON DMD
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Gender | Male
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 8325 W HAPPY VALLEY RD UNIT 100
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City | PEORIA
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State | AZ
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Zip | 85383-4361
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Country | US
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Telephone | 623-471-8898
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Fax |
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Provider Business Mailing Address
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Address Line | 7339 E CONQUISTADORES DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-4070
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Country | US
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Telephone | 973-735-4701
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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 | D010840
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License Number State | AZ
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