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General NPI Number Information
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NPI Number | 1548596059
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Entity Type | Organization
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Legal Business Name | MICHAEL R TEMPLETON, DDS, PLC
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Dates
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Enumeration Date | 10/19/2009
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Last Update Date | 08/22/2011
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Provider Practice Location Address
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Address Line | 4243 N BROWN AVE
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3913
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Country | US
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Telephone | 480-941-8011
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Fax |
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Provider Business Mailing Address
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Address Line | 4243 N BROWN AVE
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3913
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Country | US
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Telephone | 480-941-8011
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Fax |
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Authorized Official
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Title or Position | OWNER/ DENTIST
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Name | DR. MICHAEL RAY TEMPLETON
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Credential | D.D.S.
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Telephone | 480-941-8011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 3769
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License Number State | AZ
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