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General NPI Number Information
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NPI Number | 1194607002
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Entity Type | Individual
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Provider Name | MARLAYNA MAJERUS DMD
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Gender | Female
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 5220 CENTRAL AVE NE STE 240
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-1823
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Country | US
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Telephone | 763-275-1319
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Fax |
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Provider Business Mailing Address
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Address Line | 4066 LEXINGTON AVE N APT 411
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City | SHOREVIEW
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State | MN
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Zip | 55126-2966
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Country | US
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Telephone | 715-821-0649
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D15369
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License Number State | MN
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