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General NPI Number Information
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NPI Number | 1679762777
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Entity Type | Individual
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Provider Name | JAMES M. FLYNN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 1640 E RIVER RD STE 12
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City | TUCSON
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State | AZ
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Zip | 85718-7644
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Country | US
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Telephone | 520-299-4470
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Fax |
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Provider Business Mailing Address
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Address Line | 12337 N CLOUD RIDGE DR
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City | ORO VALLEY
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State | AZ
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Zip | 85755-6563
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Country | US
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Telephone | 520-575-9449
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Fax | 520-469-9922
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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 | 5690
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License Number State | AZ
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