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NPI 1508759432

NPI 1508759432 : LAURA ELIZABETH TIMM VOORHEES DDS : BLOOMINGTON, MN

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General NPI Number Information
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    NPI Number           |    1508759432
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    Entity Type          |    Individual 
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    Provider Name        |    LAURA ELIZABETH TIMM VOORHEES DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/30/2025
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    4200 W OLD SHAKOPEE RD STE 100 
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    City                 |    BLOOMINGTON
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    State                |    MN
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    Zip                  |    55437-2976
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    Country              |    US
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    Telephone            |    952-831-6126
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    725 WILDFLOWER LN 
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    City                 |    CHANHASSEN
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    State                |    MN
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    Zip                  |    55317-3523
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    Country              |    US
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    Telephone            |    320-815-3087
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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       |    D15289
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    License Number State |    MN
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