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General NPI Number Information
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NPI Number | 1487175626
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Entity Type | Organization
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Legal Business Name | SEWARD SMILES DENTAL
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 06/28/2017
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Provider Practice Location Address
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Address Line | 137 N 7TH ST
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City | SEWARD
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State | NE
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Zip | 68434-2017
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Country | US
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Telephone | 402-643-3909
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Fax |
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Provider Business Mailing Address
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Address Line | 137 N 7TH ST
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City | SEWARD
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State | NE
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Zip | 68434-2017
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHERIE RONHOVDE
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Credential |
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Telephone | 402-643-3909
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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 |
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License Number State |
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