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General NPI Number Information
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NPI Number | 1548437841
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Entity Type | Organization
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Legal Business Name | DAN F. SOENEN, D.D.S., P.C.
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 508 N BIRCH ST
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City | KALKASKA
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State | MI
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Zip | 49646-8414
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Country | US
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Telephone | 231-258-5395
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Fax | 231-258-8010
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Provider Business Mailing Address
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Address Line | 508 N BIRCH ST
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City | KALKASKA
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State | MI
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Zip | 49646-8414
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Country | US
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Telephone | 231-258-5395
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Fax | 231-258-8010
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DEBBIE JENKINS
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Credential |
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Telephone | 231-258-5395
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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 | 11219
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11864
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License Number State | MI
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