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General NPI Number Information
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NPI Number | 1285734020
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Entity Type | Individual
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Provider Name | DON NELSON D.D.S. , M.S.D.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 107 H STREET EAST
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City | POPLAR
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State | MT
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Zip | 59255
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Country | US
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Telephone | 406-768-3491
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Fax | 406-768-3423
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Provider Business Mailing Address
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Address Line | PO BOX 67
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City | POPLAR
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State | MT
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Zip | 59255-0067
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Country | US
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Telephone | 406-768-3491
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Fax | 406-768-3423
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 1954
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License Number State | MT
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