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General NPI Number Information
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NPI Number | 1881612968
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Entity Type | Individual
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Provider Name | JAMES S OH D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 10031 E DYNAMITE BLVD STE 200
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-3741
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Country | US
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Telephone | 480-725-9188
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Fax |
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Provider Business Mailing Address
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Address Line | 10031 E DYNAMITE BLVD STE 200
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-3741
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Country | US
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Telephone | 480-725-9188
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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 | 44346
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License Number State | CA
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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 | 9861
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D009861
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License Number State | AZ
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