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General NPI Number Information
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NPI Number | 1821268475
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Entity Type | Organization
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Legal Business Name | AFFORDABLE DENTAL CARE LLC
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 10839 E APACHE TRL
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City | APACHE JUNCTION
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State | AZ
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Zip | 85220-3414
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Country | US
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Telephone | 480-354-6177
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Fax | 480-354-6176
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Provider Business Mailing Address
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Address Line | 10839 E APACHE TRL
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City | APACHE JUNCTION
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State | AZ
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Zip | 85220-3414
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Country | US
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Telephone | 480-354-6177
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Fax | 480-354-6176
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DOLORES R YBARRA
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Credential |
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Telephone | 480-354-6177
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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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