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General NPI Number Information
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NPI Number | 1174232664
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Entity Type | Organization
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Legal Business Name | DANIEL J LOBAN DDS PA
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 1011 E CENTRAL ENTRANCE
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City | DULUTH
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State | MN
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Zip | 55811-5545
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Country | US
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Telephone | 218-722-1715
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Fax | 218-727-3217
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Provider Business Mailing Address
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Address Line | 1011 E CENTRAL ENTRANCE
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City | DULUTH
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State | MN
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Zip | 55811-5545
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Country | US
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Telephone | 218-722-1715
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Fax | 218-727-3217
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Authorized Official
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Title or Position | OWNER/OFFICER
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Name | MR. DANIEL J LOBAN
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Credential | DDS
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Telephone | 218-722-1715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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