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General NPI Number Information
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NPI Number | 1972764058
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Entity Type | Organization
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Legal Business Name | AWP DENTAL GROUP PC
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 16458 N MIDLAND BLVD
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City | NAMPA
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State | ID
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Zip | 83687
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Country | US
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Telephone | 208-461-5222
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Fax | 208-505-1883
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Provider Business Mailing Address
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Address Line | 16458 N MIDLAND BLVD
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City | NAMPA
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State | ID
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Zip | 83687
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Country | US
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Telephone | 208-461-5222
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Fax | 208-505-1883
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Authorized Official
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Title or Position | OWNER
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Name | CHRIS A SATCHWELL
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Credential | DMD
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Telephone | 208-573-2587
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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 | D-4145
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License Number State | ID
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