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General NPI Number Information
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NPI Number | 1417475203
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Entity Type | Individual
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Provider Name | LAUREN KUHN NUTH DMD, MSD
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Gender | Female
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Dates
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Enumeration Date | 09/01/2017
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 748 BIELENBERG DR STE 100
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City | WOODBURY
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State | MN
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Zip | 55125-1407
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Country | US
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Telephone | 651-735-6430
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Fax |
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Provider Business Mailing Address
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Address Line | 741 HELEN CT
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City | HUDSON
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State | WI
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Zip | 54016-2356
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Country | US
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Telephone | 360-580-8026
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 9017
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6001301
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D14303
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License Number State | MN
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