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General NPI Number Information
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NPI Number | 1396100616
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Entity Type | Organization
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Legal Business Name | DENTAL CARE BY DESIGN PC
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Dates
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Enumeration Date | 12/31/2015
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 7966 W THUNDERBIRD RD SUITE 101
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City | PEORIA
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State | AZ
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Zip | 85381-4902
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Country | US
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Telephone | 623-842-1200
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Fax | 623-842-0726
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Provider Business Mailing Address
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Address Line | 7966 W THUNDERBIRD RD SUITE 101
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City | PEORIA
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State | AZ
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Zip | 85381-4902
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Country | US
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Telephone | 623-842-1200
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Fax | 623-842-0726
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Authorized Official
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Title or Position | OWNER
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Name | DR. DARREL L BISCHOFF
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Credential | DDS
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Telephone | 623-842-1200
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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 | D03002
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License Number State | AZ
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