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General NPI Number Information
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NPI Number | 1750239786
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Entity Type | Organization
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Legal Business Name | CANADA HILLS PLLC
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 10325 N LA CANADA DR STE 181
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City | ORO VALLEY
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State | AZ
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Zip | 85737-7299
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Country | US
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Telephone | 520-877-3234
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Fax | 520-505-7802
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Provider Business Mailing Address
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Address Line | 10325 N LA CANADA DR STE 181
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City | ORO VALLEY
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State | AZ
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Zip | 85737-7299
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Country | US
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Telephone | 520-877-3234
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Fax | 520-505-7802
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Authorized Official
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Title or Position | OWNER
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Name | SEAN BRIAN HAM
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Credential | DDS
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Telephone | 520-404-9425
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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 |
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License Number State |
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