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General NPI Number Information
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NPI Number | 1477952968
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Entity Type | Organization
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Legal Business Name | DENZINGER FAMILY DENTISTRY
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 08/20/2014
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Provider Practice Location Address
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Address Line | 5104 CHARLESTOWN RD
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City | NEW ALBANY
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State | IN
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Zip | 47150-9429
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Country | US
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Telephone | 270-314-7469
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Fax |
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Provider Business Mailing Address
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Address Line | 5104 CHARLESTOWN RD
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City | NEW ALBANY
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State | IN
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Zip | 47150-9429
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Country | US
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Telephone | 270-314-7469
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. SARA LYNN DENZINGER-ROWE
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Credential | D.D.S.
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Telephone | 812-941-1400
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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 | 12009852
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 12009852
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License Number State | IN
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