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General NPI Number Information
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NPI Number | 1467982769
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Entity Type | Individual
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Provider Name | KAILEY FRITZ SCHLAGETER DDS
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Gender | Female
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 15182 N 75TH AVE STE 120
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City | PEORIA
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State | AZ
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Zip | 85381-4722
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Country | US
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Telephone | 623-688-5099
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Fax |
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Provider Business Mailing Address
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Address Line | 13440 N 44TH ST APT 3088
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City | PHOENIX
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State | AZ
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Zip | 85032-6398
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Country | US
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Telephone | 715-410-7079
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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 | D009786
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License Number State | AZ
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