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General NPI Number Information
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NPI Number | 1508917675
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Entity Type | Individual
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Provider Name | APRIL N NELSON-EHLERS SURGICAL ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1316 COFFEE RD STE E14 DR ROLAND YOUNG
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City | MODESTO
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State | CA
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Zip | 95355
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Country | US
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Telephone | 209-522-9963
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Fax |
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Provider Business Mailing Address
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Address Line | 1802 SAN GABRIEL DR
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City | HUGHSON
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State | CA
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Zip | 95326
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Country | US
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Telephone | 209-883-0434
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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 | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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