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General NPI Number Information
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NPI Number | 1407015191
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Entity Type | Organization
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Legal Business Name | THOMAS R SCHIERBROCK DDS ANDREA L CORDENZANA DDS PLC
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Dates
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Enumeration Date | 06/06/2008
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Last Update Date | 06/06/2008
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Provider Practice Location Address
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Address Line | 427 E KANESVILLE BLVD #200
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City | CO BLUFFS
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State | IA
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Zip | 51503-4403
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Country | US
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Telephone | 712-322-5318
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Fax | 712-329-6128
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Provider Business Mailing Address
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Address Line | 427 E KANESVILLE BLVD #200
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City | CO BLUFFS
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State | IA
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Zip | 51503-4403
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Country | US
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Telephone | 712-322-5318
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Fax | 712-329-6128
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Authorized Official
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Title or Position | PARTNER
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Name | DR. THOMAS ROBERT SCHIERBROCK
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Credential | DDS
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Telephone | 712-322-5318
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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 | 6291
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License Number State | IA
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