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General NPI Number Information
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NPI Number | 1699950519
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Entity Type | Organization
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Legal Business Name | SOMNIDENT PLLC
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 9145 W THUNDERBIRD RD # H105
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City | PEORIA
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State | AZ
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Zip | 85381-4820
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Country | US
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Telephone | 623-878-6476
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Fax |
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Provider Business Mailing Address
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Address Line | 9145 W THUNDERBIRD RD # H105
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City | PEORIA
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State | AZ
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Zip | 85381-4820
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Country | US
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Telephone | 623-878-6476
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MICHAEL J GENGLE
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Credential |
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Telephone | 623-878-6476
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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 |
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License Number State |
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