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General NPI Number Information
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NPI Number | 1083114896
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Entity Type | Organization
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Legal Business Name | ADAM NALER D.D.S., LLC
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Dates
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Enumeration Date | 02/19/2018
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Last Update Date | 02/19/2018
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Provider Practice Location Address
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Address Line | 510 BRANCH ST
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City | PLATTE CITY
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State | MO
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Zip | 64079-9713
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Country | US
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Telephone | 816-858-5343
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 768
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City | PLATTE CITY
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State | MO
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Zip | 64079-0768
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Country | US
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Telephone | 816-858-5343
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | SHANNIN WEAKLEND
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Credential |
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Telephone | 816-858-5343
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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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