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General NPI Number Information
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NPI Number | 1144765108
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Entity Type | Organization
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Legal Business Name | CHRIS FOIX DDS PC
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Dates
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Enumeration Date | 12/30/2016
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Last Update Date | 12/30/2016
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Provider Practice Location Address
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Address Line | 11472 S 72ND ST
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City | PAPILLION
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State | NE
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Zip | 68046-4703
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Country | US
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Telephone | 402-731-8678
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Fax | 402-731-8523
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Provider Business Mailing Address
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Address Line | 11472 S 72ND ST
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City | PAPILLION
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State | NE
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Zip | 68046-4703
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Country | US
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Telephone | 402-731-8678
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Fax | 402-731-8523
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SUSAN KAY FOIX
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Credential | M.S.
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Telephone | 402-731-8678
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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 | 6324
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License Number State | NE
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