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General NPI Number Information
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NPI Number | 1982381943
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Entity Type | Individual
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Provider Name | EVE S PENCE DMD
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Gender | Female
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 199 S CANDY LN STE 4A
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4183
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Country | US
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Telephone | 928-634-8046
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Fax | 928-649-0856
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Provider Business Mailing Address
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Address Line | 2210 CALEB CT
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City | CLARKDALE
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State | AZ
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Zip | 86324-3721
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Country | US
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Telephone | 863-444-1924
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D011799
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License Number State | AZ
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