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General NPI Number Information
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NPI Number | 1023823457
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Entity Type | Organization
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Legal Business Name | WOOD DUCK DENTAL
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 1300 NEBRASKA AVE
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City | NORFOLK
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State | NE
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Zip | 68701-3684
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Country | US
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Telephone | 402-371-0845
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Fax |
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Provider Business Mailing Address
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Address Line | 806 E 9TH ST
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City | VALENTINE
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State | NE
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Zip | 69201-1657
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Country | US
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Telephone | 402-649-2848
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. SCOTT ZACH
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Credential | DDS
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Telephone | 402-649-2848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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