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General NPI Number Information
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NPI Number | 1134229099
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Entity Type | Organization
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Legal Business Name | CRAIG E ROTHFUSZ DDS PL
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 7 W CALEDONIA AVE
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City | HILLSBORO
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State | ND
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Zip | 58045-0176
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Country | US
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Telephone | 701-636-4244
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Fax | 701-636-5370
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Provider Business Mailing Address
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Address Line | 7 W CALEDONIA AVE
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City | HILLSBORO
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State | ND
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Zip | 58045-0176
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Country | US
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Telephone | 701-636-4244
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Fax | 701-636-5370
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. CRAIG E ROTHFUSZ
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Credential | DDS
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Telephone | 701-636-4244
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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 | 1750
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License Number State | ND
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