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General NPI Number Information
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NPI Number | 1194349167
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Entity Type | Organization
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Legal Business Name | LINK FAMILY DENTAL, LLC
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 580 KASE ST
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City | PLATTEVILLE
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State | WI
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Zip | 53818-1814
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Country | US
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Telephone | 608-348-3031
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Fax |
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Provider Business Mailing Address
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Address Line | 580 KASE ST
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City | PLATTEVILLE
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State | WI
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Zip | 53818-1814
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CAROLINE MANNING MILLER LINK
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Credential | DDS
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Telephone | 303-949-6871
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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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