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General NPI Number Information
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NPI Number | 1366968711
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Entity Type | Organization
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Legal Business Name | MELISSA M SCHOCK DDS LLC
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 502 4TH ST
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City | FULLERTON
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State | NE
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Zip | 68638-3119
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Country | US
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Telephone | 308-536-2120
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Fax | 308-536-2559
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Provider Business Mailing Address
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Address Line | PO BOX 665
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City | FULLERTON
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State | NE
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Zip | 68638-0665
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Country | US
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Telephone | 308-536-2120
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Fax |
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Authorized Official
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Title or Position | DR.
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Name | MELISSA M SCHOCK
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Credential | D.D.S.
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Telephone | 402-366-9507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 7370
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License Number State | NE
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