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General NPI Number Information
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NPI Number | 1669089413
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Entity Type | Individual
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Provider Name | VERONICA CHINWE SULE BDS, MMHCA, MS
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Gender | Female
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 2109 CUMING ST
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City | OMAHA
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State | NE
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Zip | 68102-4325
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Country | US
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Telephone | 402-280-5990
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Fax |
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Provider Business Mailing Address
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Address Line | 322 DENTAL SCIENCE BLDG S
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City | IOWA
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State | IA
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Zip | 52242-1001
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Country | US
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Telephone | 319-335-7440
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Fax | 319-335-7451
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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 | 12014636A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | RES-30597
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 142
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License Number State | NE
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