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General NPI Number Information
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NPI Number | 1669668307
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Entity Type | Individual
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Provider Name | LAWLAY NAEIMASA AZIZI DMD
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Gender | Female
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 10452 E QUARTZ ROCK RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-8013
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Country | US
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Telephone | 480-280-6436
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Fax | 480-247-3248
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Provider Business Mailing Address
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Address Line | 10452 E QUARTZ ROCK RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-8013
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Country | US
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Telephone | 480-280-6436
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Fax | 480-247-3248
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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 | D07896
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License Number State | AZ
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