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General NPI Number Information
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NPI Number | 1639593759
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Entity Type | Organization
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Legal Business Name | DENTAL ASSOCIATES FOR KIDS ONLY
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Dates
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Enumeration Date | 02/10/2014
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Last Update Date | 02/10/2014
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Provider Practice Location Address
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Address Line | 12020 E. SHEA BLVD. #8
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City | SCOTTSDALE
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State | AZ
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Zip | 85259
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Country | US
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Telephone | 480-767-5600
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Fax | 480-767-1950
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Provider Business Mailing Address
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Address Line | 12020 E SHEA BLVD STE 8
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-4180
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Country | US
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Telephone | 480-767-5600
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Fax | 480-767-1950
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Authorized Official
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Title or Position | DENTIST
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Name | DR. LEE WEINSTEIN
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Credential | DMD
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Telephone | 480-767-5600
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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 |
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License Number State |
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