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General NPI Number Information
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NPI Number | 1407389869
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Entity Type | Individual
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Provider Name | ROBERT G COX DDS
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Gender | Male
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 09/03/2021
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Provider Practice Location Address
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Address Line | 5940 W UNION HILLS DR STE B190
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City | GLENDALE
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State | AZ
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Zip | 85308-1359
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Country | US
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Telephone | 602-314-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 15225 N 20TH ST
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City | PHOENIX
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State | AZ
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Zip | 85022-4053
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Country | US
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Telephone | 810-280-7112
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | D010268
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License Number State | AZ
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