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General NPI Number Information
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NPI Number | 1417411679
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Entity Type | Organization
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Legal Business Name | NEIN SCHNARCHEN INC
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Dates
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Enumeration Date | 01/22/2019
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 1401 KINGSTON TER
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City | GREEN BAY
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State | WI
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Zip | 54302-5405
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Country | US
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Telephone | 920-366-4115
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 KINGSTON TER
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City | GREEN BAY
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State | WI
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Zip | 54302-5405
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Country | US
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Telephone | 920-465-4477
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | ROBERT M VILLWOCK
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Credential |
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Telephone | 920-465-4477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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