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General NPI Number Information
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NPI Number | 1588050355
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Entity Type | Organization
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Legal Business Name | PETER ARVANITIS DDS PC
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 11/15/2016
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Provider Practice Location Address
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Address Line | 7725 N 43RD AVE SUITE 711
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City | PHOENIX
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State | AZ
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Zip | 85051-5770
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Country | US
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Telephone | 602-926-7071
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Fax | 623-328-9071
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Provider Business Mailing Address
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Address Line | 7725 N 43RD AVE SUITE 711
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City | PHOENIX
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State | AZ
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Zip | 85051-5770
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Country | US
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Telephone | 602-926-7071
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Fax | 623-328-9071
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Authorized Official
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Title or Position | PRESIDENT
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Name | PETER ARVANITIS
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Credential | DDS
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Telephone | 602-926-7071
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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 | BA5181
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License Number State | AZ
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