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General NPI Number Information
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NPI Number | 1356151591
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Entity Type | Organization
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Legal Business Name | ZAWADSKI DENTAL PLLC
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 333 MAIN ST N STE 111
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City | STILLWATER
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State | MN
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Zip | 55082-5054
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Country | US
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Telephone | 651-439-6125
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Fax |
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Provider Business Mailing Address
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Address Line | 255 N OWASSO BLVD
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City | SHOREVIEW
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State | MN
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Zip | 55126-3055
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Country | US
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Telephone | 651-283-7379
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICK ZAWADSKI
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Credential | DDS
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Telephone | 651-283-7379
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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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