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General NPI Number Information
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NPI Number | 1871785378
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Entity Type | Organization
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Legal Business Name | JOSEPH S. DOVGAN, DDS, MS. PC
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 10585 N TATUM BLVD SUITE D132
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-1073
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Country | US
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Telephone | 480-483-9001
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Fax | 480-483-1312
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Provider Business Mailing Address
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Address Line | 10585 N TATUM BLVD SUITE D132
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-1073
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Country | US
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Telephone | 480-483-9001
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Fax | 480-483-1312
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH SAMO DOVGAN
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Credential | DDS MS
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Telephone | 480-483-9001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 4137
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License Number State | AZ
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