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General NPI Number Information
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NPI Number | 1619893666
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Entity Type | Individual
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Provider Name | SCOTT ANOR UMBERFIELD DDS
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Gender | Male
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 1210 4TH AVE SE
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City | CEDAR RAPIDS
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State | IA
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Zip | 52403-4085
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Country | US
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Telephone | 319-730-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 1338 REDBUD AVE
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City | TIFFIN
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State | IA
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Zip | 52340-4903
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Country | US
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Telephone | 989-397-4898
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS-10504
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License Number State | IA
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