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General NPI Number Information
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NPI Number | 1790749554
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Entity Type | Individual
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Provider Name | MATTHEW ZANE FOX D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 7342 E THOMAS RD STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-7243
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Country | US
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Telephone | 480-935-2424
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Fax |
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Provider Business Mailing Address
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Address Line | 19475 N GRAYHAWK DR UNIT 1115
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-7421
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Country | US
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Telephone | 248-755-3520
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2901018708
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D008496
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License Number State | AZ
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