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General NPI Number Information
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NPI Number | 1356426050
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Entity Type | Organization
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Legal Business Name | TOY FAMILY DENTISTRY LLC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | N63 W23524 SILVER SPRING DR
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City | SUSSEX
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State | WI
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Zip | 53089
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Country | US
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Telephone | 262-246-6486
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Fax | 262-246-6791
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Provider Business Mailing Address
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Address Line | N63 W23524 SILVER SPRING DR
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City | SUSSEX
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State | WI
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Zip | 53089
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Country | US
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Telephone | 262-246-6486
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Fax | 262-246-6791
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JAIME L. BUCHOLTZ
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Credential |
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Telephone | 262-246-6486
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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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