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General NPI Number Information
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NPI Number | 1437445723
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Entity Type | Individual
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Provider Name | NOAH LUKE PISKORSKI DDS
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Gender | Male
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Dates
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Enumeration Date | 06/24/2011
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 1626 L ST
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City | ORD
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State | NE
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Zip | 68862-0224
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Country | US
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Telephone | 308-728-3756
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Fax | 308-728-3207
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Provider Business Mailing Address
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Address Line | PO BOX 224 1626 L ST.
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City | ORD
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State | NE
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Zip | 68862-0224
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Country | US
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Telephone | 308-346-4988
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Fax | 308-346-9103
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6961
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License Number State | NE
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