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General NPI Number Information
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NPI Number | 1699949297
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Entity Type | Organization
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Legal Business Name | ARIZONA ORTHODONTICS EXCLUSIVELY PC
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 11333 N SCOTTSDALE RD SUITE 250
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5188
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Country | US
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Telephone | 480-367-8900
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Fax | 480-367-8989
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Provider Business Mailing Address
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Address Line | 11333 N SCOTTSDALE RD SUITE 250
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5188
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Country | US
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Telephone | 480-367-8900
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Fax | 480-367-8989
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. HOWARD L HENRY
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Credential | DDS MSC
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Telephone | 480-367-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | D2445
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License Number State | AZ
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