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General NPI Number Information
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NPI Number | 1558080127
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Entity Type | Organization
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Legal Business Name | 614 SMILES, VICTORIA BLEM, DDS
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 4490 INDIANOLA AVE
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City | COLUMBUS
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State | OH
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Zip | 43214-2244
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Country | US
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Telephone | 614-252-8180
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Fax |
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Provider Business Mailing Address
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Address Line | 6092 HERITAGE FARMS DR
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City | HILLIARD
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State | OH
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Zip | 43026-7958
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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 | OWNER DENTIST
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Name | DR. VICTORIA BLEM
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Credential | DDS
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Telephone | 614-329-1721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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