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General NPI Number Information
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NPI Number | 1013118439
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Entity Type | Organization
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Legal Business Name | WILLIAM G LURZ DDS
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 102 E SOUTH ST
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City | BASSETT
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State | NE
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Zip | 68714-0098
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Country | US
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Telephone | 402-684-2919
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Fax | 402-684-2919
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Provider Business Mailing Address
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Address Line | 102 E SOUTH ST PO BOX 98 BASSETT DENTAL CLINIC
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City | BASSETT
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State | NE
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Zip | 68714-0098
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Country | US
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Telephone | 402-684-2919
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Fax | 402-684-2919
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Authorized Official
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Title or Position | OWNER OF DENTAL CLINIC
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Name | WILLIAM G LURZ
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Credential |
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Telephone | 402-684-2919
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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 | 5283
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 5283
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License Number State | NE
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