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General NPI Number Information
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NPI Number | 1982407854
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Entity Type | Organization
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Legal Business Name | RUBEN O REYES PLLC
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 6520 N 7TH AVE STE 3
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City | PHOENIX
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State | AZ
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Zip | 85013-1158
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Country | US
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Telephone | 480-530-0945
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Fax |
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Provider Business Mailing Address
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Address Line | 500 W CAMELBACK RD UNIT 578
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City | PHOENIX
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State | AZ
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Zip | 85013-0018
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Country | US
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Telephone | 206-408-0005
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | RUBEN OMAR REYES
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Credential | DDS
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Telephone | 206-408-0005
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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 |
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License Number State |
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