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General NPI Number Information
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NPI Number | 1598217341
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Entity Type | Individual
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Provider Name | ANTHONY GEORGE FIORETTI DDS
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Gender | Male
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 742 W CHERRY LN
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City | MERIDIAN
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State | ID
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Zip | 83642-1617
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Country | US
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Telephone | 208-888-1010
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Fax | 208-888-4488
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Provider Business Mailing Address
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Address Line | 742 W CHERRY LN
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City | MERIDIAN
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State | ID
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Zip | 83642-1617
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Country | US
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Telephone | 208-888-1010
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Fax | 208-888-4488
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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 | 100519
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 100519
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | D-EN-5332
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License Number State | ID
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