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General NPI Number Information
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NPI Number | 1487379426
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Entity Type | Organization
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Legal Business Name | NUSET SCOTTSDALE
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 8800 E RAINTREE DR STE 170
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3961
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Country | US
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Telephone | 520-503-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 7991 VANCE DR STE A
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City | ARVADA
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State | CO
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Zip | 80003-2148
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Country | US
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Telephone | 303-422-2990
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT CORY RYAN
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Credential | MD, DDS
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Telephone | 303-501-2212
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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 |
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License Number State |
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