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General NPI Number Information
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NPI Number | 1659415966
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Entity Type | Individual
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Provider Name | RANDALL WAYNE SZUTZ DDS
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Gender | Male
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 03/10/2016
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Provider Practice Location Address
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Address Line | 74930 COUNTRY CLUB DR STE# 510
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City | PALM DESERT
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State | CA
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Zip | 92260-1980
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Country | US
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Telephone | 760-341-2599
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Fax | 760-836-0808
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Provider Business Mailing Address
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Address Line | 72775 FRANK SINATRA DR STE B
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3229
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Country | US
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Telephone | 760-832-7915
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Fax |
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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 | 34430
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License Number State | CA
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