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General NPI Number Information
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NPI Number | 1447874110
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Entity Type | Individual
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Provider Name | DANIEL PARKER SITTON DMD
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Gender | Male
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Dates
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Enumeration Date | 05/29/2020
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 9059 W LAKE PLEASANT PKWY STE 400
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City | PEORIA
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State | AZ
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Zip | 85382-8363
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Country | US
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Telephone | 208-591-0091
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Fax |
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Provider Business Mailing Address
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Address Line | 9059 W LAKE PLEASANT PKWY STE 400
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City | PEORIA
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State | AZ
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Zip | 85382-8363
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Country | US
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Telephone |
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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 | D012030
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE61062819
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License Number State | WA
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