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General NPI Number Information
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NPI Number | 1588875942
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Entity Type | Organization
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Legal Business Name | SILOXANE LLC
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 08/20/2015
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Provider Practice Location Address
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Address Line | 8900 E PINNACLE PEAK ROAD SUTIE E-5
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City | SCOTTSDALE
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State | AZ
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Zip | 85255
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Country | US
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Telephone | 480-513-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 8900 E PINNACLE PEAK ROAD SUTIE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85255
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Country | US
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Telephone | 480-513-1000
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Fax | 480-513-1111
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Authorized Official
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Title or Position | OWNER
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Name | SATHISH CHARI
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Credential | DDS
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Telephone | 480-513-1000
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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 | 4534
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License Number State | AZ
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