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General NPI Number Information
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NPI Number | 1235410770
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Entity Type | Organization
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Legal Business Name | NANCY Z. HALSEMA, D.D.S., P.C.
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Dates
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Enumeration Date | 08/29/2011
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Last Update Date | 08/29/2011
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Provider Practice Location Address
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Address Line | 3965 W 106TH ST SUITE 100
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City | CARMEL
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State | IN
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Zip | 46032-7750
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Country | US
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Telephone | 317-253-8631
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Fax | 317-876-9715
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Provider Business Mailing Address
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Address Line | 3965 W 106TH ST SUITE 100
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City | CARMEL
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State | IN
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Zip | 46032-7750
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Country | US
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Telephone | 317-253-8631
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Fax | 317-876-9715
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NANCY Z HALSEMA
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Credential | D.D.S.
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Telephone | 317-253-8631
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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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