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General NPI Number Information
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NPI Number | 1497646509
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Entity Type | Individual
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Provider Name | AMBER ACKERMAN DMD
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Gender | Female
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 1920 COMMERCE DRIVE
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City | MOUNT HOREB
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State | WI
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Zip | 53572
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Country | US
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Telephone | 605-832-6505
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Fax |
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Provider Business Mailing Address
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Address Line | 4702 MADISON YARDS WAY APT 1101
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City | MADISON
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State | WI
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Zip | 53705-9105
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Country | US
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Telephone | 321-512-8256
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6001912-15
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License Number State | WI
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