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General NPI Number Information
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NPI Number | 1225766025
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Entity Type | Individual
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Provider Name | NEFELI PROTOGERAKI
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Gender | Female
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 7-368 MOOS TOWER 515 DELAWARE ST SE
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City | MINNEAPOLIS
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State | MN
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Zip | 55455
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Country | US
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Telephone | 612-625-4959
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Fax |
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Provider Business Mailing Address
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Address Line | 410 N 2ND ST APT 417
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City | MINNEAPOLIS
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State | MN
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Zip | 55401-5325
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Country | US
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Telephone | 651-424-7145
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | R841
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License Number State | MN
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