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General NPI Number Information
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NPI Number | 1073205019
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Entity Type | Individual
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Provider Name | LILLIAN ROSE CREGAN DDS
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Gender | Female
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 2096 FORD PKWY
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City | SAINT PAUL
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State | MN
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Zip | 55116-1813
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Country | US
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Telephone | 165-123-7991
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Fax |
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Provider Business Mailing Address
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Address Line | 1487 CHELSEA ST
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City | SAINT PAUL
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State | MN
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Zip | 55108-2312
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Country | US
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Telephone | 651-262-3262
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | D14883
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License Number State | MN
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