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General NPI Number Information
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NPI Number | 1700081916
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Entity Type | Organization
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Legal Business Name | GLENN C HANF DMD PC
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10401 E MCDOWELL MOUNTAIN RANCH RD SUITE 4
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-8698
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Country | US
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Telephone | 480-858-4244
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Fax | 480-513-4166
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Provider Business Mailing Address
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Address Line | 10401 E MCDOWELL MOUNTAIN RANCH RD SUITE 4
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-8698
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Country | US
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Telephone | 480-858-4244
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Fax | 480-513-4166
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Authorized Official
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Title or Position | OWNER
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Name | DR. GLENN C HANF
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Credential | DMD
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Telephone | 480-585-4244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 4507
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License Number State | AZ
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