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NPI 1174686737

NPI 1174686737 : DELIA DALL'ARANCIO DDS MS : WOODBURY, MN

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General NPI Number Information
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    NPI Number           |    1174686737
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    Entity Type          |    Individual 
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    Provider Name        |    DELIA DALL'ARANCIO DDS MS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/18/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3100 WOODBURY DR 
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    City                 |    WOODBURY
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    State                |    MN
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    Zip                  |    55129-9600
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    Country              |    US
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    Telephone            |    651-714-4987
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4700 DALE DR 
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    City                 |    EDINA
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    State                |    MN
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    Zip                  |    55424-1149
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    Country              |    US
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    Telephone            |    952-920-7734
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    10890
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    License Number State |    MN
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