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General NPI Number Information
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NPI Number | 1326663139
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Entity Type | Individual
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Provider Name | SHAYNA BETH LICHTEN DMD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2020
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 913 CECELIA ST
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City | SIOUX CITY
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State | IA
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Zip | 51105-3336
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Country | US
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Telephone | 346-299-9684
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Fax |
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Provider Business Mailing Address
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Address Line | 8217 E WICKER CT
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City | SIOUX FALLS
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State | SD
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Zip | 57110-4049
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Country | US
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Telephone | 612-735-3333
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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 | D010684
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License Number State | AZ
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