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General NPI Number Information
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NPI Number | 1427156082
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Entity Type | Individual
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Provider Name | MATTHEW T PAGANI DDS
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 7110 E MCDONALD DR SUITE C2
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City | SCOTTSDALE
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State | AZ
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Zip | 85253-5426
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Country | US
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Telephone | 480-922-1876
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Fax | 480-922-1785
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Provider Business Mailing Address
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Address Line | 25786 N 104TH PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-8019
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Country | US
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Telephone | 602-478-2155
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | D04719
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 4719
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License Number State | AZ
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