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General NPI Number Information
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NPI Number | 1992936645
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Entity Type | Organization
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Legal Business Name | RICHARD A. ALVERSON, D.D.S., P.C.
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 07/29/2009
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Provider Practice Location Address
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Address Line | 10615 N HAYDEN RD SUITE 104
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-5577
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Country | US
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Telephone | 480-998-8816
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Fax | 480-596-3445
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Provider Business Mailing Address
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Address Line | 10615 N HAYDEN RD SUITE 104
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-5577
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Country | US
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Telephone | 480-998-8816
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Fax | 480-596-3445
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD ALLEN ALVERSON
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Credential | DDS
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Telephone | 480-998-8816
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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 | AZ2264
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License Number State | AZ
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