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NPI 1861809790

NPI 1861809790 : ANNA AZAR DMD : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1861809790
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    Entity Type          |    Individual 
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    Provider Name        |    ANNA AZAR DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/11/2014
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    Last Update Date     |    03/31/2025
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Provider Practice Location Address
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    Address Line         |    340 W PRINCE RD 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85705-6168
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    Country              |    US
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    Telephone            |    520-670-3909
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    Fax                  |    520-309-2560
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Provider Business Mailing Address
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    Address Line         |    839 W CONGRESS ST 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85745-2819
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    Country              |    US
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    Telephone            |    520-670-3909
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    Fax                  |    520-309-2560
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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        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    DN1856596
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    D011543
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    License Number State |    AZ
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