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General NPI Number Information
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NPI Number | 1598878944
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Entity Type | Individual
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Provider Name | NOEL BERNARD LAPP DDS/MS
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Gender | Male
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 430 MAIN ST
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City | GREEN BAY
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State | WI
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Zip | 54301-5115
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Country | US
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Telephone | 920-431-1728
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Fax |
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Provider Business Mailing Address
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Address Line | 5957 TIMBER HAVEN DR
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City | LITTLE SUAMICO
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State | WI
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Zip | 54141-8660
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Country | US
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Telephone | 920-826-6083
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 97008
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License Number State | WI
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