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General NPI Number Information
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NPI Number | 1578020202
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Entity Type | Organization
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Legal Business Name | ENGLISH OAK ASSOCIATES LLC
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Dates
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Enumeration Date | 02/28/2019
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Last Update Date | 02/28/2019
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Provider Practice Location Address
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Address Line | 25355 N LAKE PLEASANT PKWY UNIT 103
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City | PEORIA
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State | AZ
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Zip | 85383-1504
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Country | US
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Telephone | 623-937-1888
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Fax | 623-825-6885
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Provider Business Mailing Address
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Address Line | 25355 N LAKE PLEASANT PKWY UNIT 103
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City | PEORIA
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State | AZ
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Zip | 85383-1504
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Country | US
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Telephone | 623-937-1888
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Fax | 623-825-6885
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Authorized Official
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Title or Position | DERECTOR
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Name | MS. MARINA AMBRIDGE
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Credential |
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Telephone | 480-548-2050
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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 |
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License Number State |
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