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NPI 1568678670

NPI 1568678670 : GLORIA A CHEN KAYE DMD : MESA, AZ

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General NPI Number Information
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    NPI Number           |    1568678670
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    Entity Type          |    Individual 
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    Provider Name        |    GLORIA A CHEN KAYE DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/15/2007
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    Last Update Date     |    09/10/2014
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Provider Practice Location Address
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    Address Line         |    2058 S DOBSON RD SUITE 13
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    City                 |    MESA
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    State                |    AZ
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    Zip                  |    85202-6454
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    Country              |    US
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    Telephone            |    480-820-2795
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4939 E HORSESHOE RD 
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    City                 |    PARADISE VALLEY
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    State                |    AZ
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    Zip                  |    85253-2049
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    Country              |    US
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    Telephone            |    602-488-0997
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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       |    4091
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    License Number State |    AZ
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