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General NPI Number Information
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NPI Number | 1104739242
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Entity Type | Organization
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Legal Business Name | RUSTY M. ALBRECHT, D.D.S., INC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 9659 OLD JOHNNYCAKE RIDGE RD
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City | CONCORD TWP
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State | OH
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Zip | 44060-6520
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Country | US
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Telephone | 440-358-0495
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Fax | 440-358-0496
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Provider Business Mailing Address
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Address Line | 9659 OLD JOHNNYCAKE RIDGE RD
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City | CONCORD TWP
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State | OH
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Zip | 44060-6520
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Country | US
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Telephone | 440-358-0495
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Fax | 440-358-0496
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Authorized Official
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Title or Position | OWNER
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Name | DR. RUSTY M. ALBRECHT
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Credential | D.D.S.
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Telephone | 440-358-0495
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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 | NULL
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