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General NPI Number Information
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NPI Number | 1114292810
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Entity Type | Organization
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Legal Business Name | REGENCY FAMILY DENTAL CARE, P.C.
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Dates
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Enumeration Date | 03/13/2012
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 110 W BENJAMIN AVE
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City | NORFOLK
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State | NE
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Zip | 68701-2913
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Country | US
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Telephone | 402-379-0468
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Fax | 402-644-8023
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Provider Business Mailing Address
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Address Line | 110 W BENJAMIN AVE
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City | NORFOLK
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State | NE
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Zip | 68701-2913
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Country | US
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Telephone | 402-379-0468
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Fax | 402-644-8023
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL JOSEPH KARMAZIN
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Credential |
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Telephone | 402-379-0468
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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 | 4457
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License Number State | NE
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