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General NPI Number Information
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NPI Number | 1427234715
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Entity Type | Organization
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Legal Business Name | MICHAEL J. NEARY DDS PC
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 06/08/2011
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Provider Practice Location Address
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Address Line | 3501 N. SCOTTSDALE ROAD #142
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City | SCOTTSDALE
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State | AZ
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Zip | 85251
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Country | US
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Telephone | 480-949-8070
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Fax | 480-970-4891
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Provider Business Mailing Address
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Address Line | 3501 N. SCOTTSDALE ROAD #142
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City | SCOTTSDALE
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State | AZ
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Zip | 85251
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Country | US
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Telephone | 480-949-8070
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Fax | 480-970-4891
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL J. NEARY
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Credential | DDS
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Telephone | 480-949-8070
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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 | 3479
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | AZ3479
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License Number State | AZ
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