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General NPI Number Information
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NPI Number | 1134600448
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Entity Type | Organization
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Legal Business Name | CURTIS R. HEBDON, D.D.S., S.C.
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Dates
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Enumeration Date | 08/24/2018
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Last Update Date | 08/24/2018
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Provider Practice Location Address
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Address Line | 233 DODGE ST
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City | KAUKAUNA
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State | WI
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Zip | 54130-2500
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Country | US
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Telephone | 920-766-9542
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Fax |
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Provider Business Mailing Address
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Address Line | 233 DODGE ST
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City | KAUKAUNA
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State | WI
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Zip | 54130-2500
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Country | US
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Telephone | 920-766-9542
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | DR. CURTIS R. HEBDON
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Credential | DDS
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Telephone | 920-766-9542
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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 | 1001802-15
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License Number State | WI
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