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General NPI Number Information
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NPI Number | 1144968207
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Entity Type | Organization
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Legal Business Name | NEMO DENTAL
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Dates
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Enumeration Date | 05/26/2022
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 1133 COLLEGE AVE STE D202
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City | MANHATTAN
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State | KS
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Zip | 66502-2700
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Country | US
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Telephone | 785-953-7401
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Fax | 785-776-8415
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Provider Business Mailing Address
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Address Line | 1133 COLLEGE AVE STE D202
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City | MANHATTAN
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State | KS
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Zip | 66502-2700
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Country | US
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Telephone | 785-953-7401
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Fax | 785-776-8415
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. ZACH WARREN NEMECHEK
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Credential | DDS
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Telephone | 785-299-0550
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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 |
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