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General NPI Number Information
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NPI Number | 1497828834
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Entity Type | Individual
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Provider Name | RUTH B. CHAU-BERGLOFF D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 06/05/2014
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Provider Practice Location Address
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Address Line | 1070 E. RAY RD. STE. 7
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City | CHANDLER
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State | AZ
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Zip | 85225
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Country | US
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Telephone | 480-792-6880
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Fax | 480-792-6870
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Provider Business Mailing Address
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Address Line | 1070 E. RAY RD. STE. 7
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City | CHANDLER
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State | AZ
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Zip | 85225
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Country | US
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Telephone | 480-792-6880
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Fax | 480-792-6870
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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 | D6749
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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 | 6749
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License Number State | AZ
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