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General NPI Number Information
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NPI Number | 1578368866
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Entity Type | Organization
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Legal Business Name | EMILY CONLEY DDS PLLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 707 HIGHWAY 33 S
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City | CLOQUET
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State | MN
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Zip | 55720-2696
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Country | US
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Telephone | 715-923-3682
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Fax |
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Provider Business Mailing Address
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Address Line | 331 GOAD DR
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City | WRENSHALL
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State | MN
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Zip | 55797-5005
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Country | US
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Telephone | 715-923-3682
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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 | EMILY CONLEY
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Credential |
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Telephone | 715-923-3682
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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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