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General NPI Number Information
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NPI Number | 1508847393
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Entity Type | Individual
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Provider Name | DAVID A GUTZMANN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 404 N ALVERNON WAY
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City | TUCSON
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State | AZ
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Zip | 85711-1952
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Country | US
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Telephone | 520-326-2725
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Fax | 520-881-5911
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Provider Business Mailing Address
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Address Line | 1177 E JOSEPHINE SADDLE PL
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City | GREEN VALLEY
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State | AZ
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Zip | 85614-6302
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Country | US
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Telephone | 520-399-1666
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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 | 6365
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License Number State | AZ
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