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General NPI Number Information
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NPI Number | 1871793299
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Entity Type | Individual
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Provider Name | WILLIAM CORY KAUS DDS
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Gender | Male
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 401 E BELL RD STE. 14
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City | PHOENIX
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State | AZ
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Zip | 85022-2300
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Country | US
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Telephone | 602-375-8646
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Fax | 602-547-1301
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Provider Business Mailing Address
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Address Line | 9212 W MARCONI AVE
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City | PEORIA
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State | AZ
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Zip | 85382-3580
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Country | US
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Telephone | 623-455-9368
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D6922
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License Number State | AZ
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