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General NPI Number Information
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NPI Number | 1255501813
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Entity Type | Organization
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Legal Business Name | ALAN R NEEFE DDS
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 1600 GILMORE AVE STE 200
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City | WINONA
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State | MN
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Zip | 55987-2172
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Country | US
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Telephone | 507-454-1616
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Fax | 507-454-8920
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Provider Business Mailing Address
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Address Line | 1600 GILMORE AVE STE 200
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City | WINONA
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State | MN
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Zip | 55987-2172
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Country | US
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Telephone | 507-454-1616
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Fax | 507-454-8920
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ALAN R NEEFE
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Credential | DDS
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Telephone | 504-454-1616
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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 | D10814
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License Number State | MN
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