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General NPI Number Information
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NPI Number | 1366252801
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Entity Type | Organization
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Legal Business Name | HONEY BEE PDC PV, LLC
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 5324 W 95TH ST
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66207-3204
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Country | US
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Telephone | 913-285-5370
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Fax |
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Provider Business Mailing Address
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Address Line | 10058 WOODLAND DR
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City | LENEXA
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State | KS
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Zip | 66220-3802
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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 | CO-OWNER
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Name | DR. CASEY RHOADS
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Credential | DDS, MDS
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Telephone | 402-309-6250
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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 |
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License Number State |
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