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General NPI Number Information
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NPI Number | 1598826992
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Entity Type | Organization
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Legal Business Name | TED W DUENSING DO LTD
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1231 1ST ST SUITE 4
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City | KENNETT
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State | MO
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Zip | 63857-2527
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Country | US
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Telephone | 573-888-8890
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Fax | 573-888-8804
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Provider Business Mailing Address
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Address Line | 1231 1ST ST SUITE 4
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City | KENNETT
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State | MO
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Zip | 63857-2527
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Country | US
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Telephone | 573-888-8890
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Fax | 573-888-8804
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TED W DUENSING
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Credential | DO
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Telephone | 573-888-8890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | DO111441
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License Number State | MO
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