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General NPI Number Information
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NPI Number | 1003168568
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Entity Type | Organization
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Legal Business Name | AESCHLIMANN PEDIATRIC DENTISTRY, INC.
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Dates
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Enumeration Date | 10/09/2012
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Last Update Date | 10/09/2012
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Provider Practice Location Address
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Address Line | 6908 S. LYNCREST PL.
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City | SIOUX FALLS
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State | SD
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Zip | 57108
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Country | US
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Telephone | 605-275-5771
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Fax | 605-275-5772
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Provider Business Mailing Address
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Address Line | 27966 452ND AVE
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City | PARKER
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State | SD
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Zip | 57053-6003
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Country | US
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Telephone | 605-275-5221
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Fax | 605-275-5772
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAURA A. AESCHLIMANN
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Credential | D.D.S.
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Telephone | 605-275-5771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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