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General NPI Number Information
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NPI Number | 1659770840
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Entity Type | Individual
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Provider Name | MICHAEL J SAXTON DMD
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Gender | Male
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 03/19/2018
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Provider Practice Location Address
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Address Line | 7219 N LITCHFIELD RD
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City | GLENDALE
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State | AZ
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Zip | 85309-1529
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Country | US
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Telephone | 623-856-3268
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 LAS VEGAS BLVD N 99TH DS
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City | NELLIS AFB
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State | NV
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Zip | 89191-6600
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Country | US
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Telephone | 702-653-2600
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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 | D009805
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN.00202274
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License Number State | CO
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