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General NPI Number Information
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NPI Number | 1538202999
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Entity Type | Organization
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Legal Business Name | THOMPSON PEAK FAMILY DENTAL
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9360 E RAINTREE DR 105
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2099
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Country | US
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Telephone | 480-614-2232
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Fax |
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Provider Business Mailing Address
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Address Line | 9360 E RAINTREE DR SUITE 105
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2099
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Country | US
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Telephone | 480-614-2232
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MICHAEL D DACHS
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Credential | D.D.S.
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Telephone | 480-614-2232
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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 | 5012
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License Number State | AZ
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