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General NPI Number Information
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NPI Number | 1720502974
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Entity Type | Organization
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Legal Business Name | ALICE W. HSIEH, DDS, PLLC
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 08/11/2017
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Provider Practice Location Address
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Address Line | 9097 E DESERT COVE AVE STE 240
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6277
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Country | US
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Telephone | 480-661-6541
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Fax |
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Provider Business Mailing Address
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Address Line | 9097 E DESERT COVE AVE STE 240
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6277
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Country | US
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Telephone | 480-661-6541
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALICE HSIEH
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Credential | DDS
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Telephone | 415-496-6586
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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 | D009284
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | D009285
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | D009285
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License Number State | AZ
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