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General NPI Number Information
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NPI Number | 1326573635
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Entity Type | Organization
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Legal Business Name | POST DENTAL
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 115 ISLAND ST
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-2350
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Country | US
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Telephone | 715-723-3534
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Fax |
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Provider Business Mailing Address
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Address Line | 115 ISLAND ST
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-2350
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CONTACT OFFICER
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Name | GENIE KUBLE
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Credential |
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Telephone | 920-450-0157
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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 |
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License Number State |
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