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General NPI Number Information
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NPI Number | 1679862494
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Entity Type | Organization
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Legal Business Name | SUNSHINE DENTISTRY L.L.C.
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 20511 N HAYDEN RD SUITE 150
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-3877
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Country | US
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Telephone | 480-994-5555
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Fax | 480-513-6840
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Provider Business Mailing Address
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Address Line | 20511 N HAYDEN RD SUITE 150
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-3877
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Country | US
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Telephone | 480-994-5555
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Fax | 480-513-6840
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | SUTTON T.H. SUTTON
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Credential | D.D.S.
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Telephone | 480-994-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4762
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License Number State | AZ
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