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General NPI Number Information
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NPI Number | 1568658581
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Entity Type | Individual
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Provider Name | CATHERINE GIBBONS D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 21321 E OCOTILLO RD SUITE 133
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-5996
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Country | US
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Telephone | 480-882-9991
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Fax |
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Provider Business Mailing Address
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Address Line | 3273 E POWELL PL
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City | CHANDLER
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State | AZ
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Zip | 85249-3457
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Country | US
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Telephone | 480-381-8154
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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 | 7330
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License Number State | AZ
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