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General NPI Number Information
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NPI Number | 1487645602
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Entity Type | Individual
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Provider Name | ERIC WARREN LERNOR D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | 4910 E GREENWAY RD STE 6
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City | SCOTTSDALE
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State | AZ
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Zip | 85254
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Country | US
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Telephone | 602-485-4747
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Fax | 602-485-0123
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Provider Business Mailing Address
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Address Line | 4910 E GREENWAY RD STE 6
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-1653
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Country | US
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Telephone | 602-485-4747
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Fax | 602-485-0123
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3302
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License Number State | AZ
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