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General NPI Number Information
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NPI Number | 1689636979
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Entity Type | Individual
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Provider Name | STEVEN MARK RZEPECKI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7565 OFFICE RIDGE CIR
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-3651
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Country | US
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Telephone | 952-944-2212
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Fax | 952-941-2895
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Provider Business Mailing Address
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Address Line | 7565 OFFICE RIDGE CIR
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-3651
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Country | US
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Telephone | 952-944-2212
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Fax | 952-941-2895
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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 | D8743
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License Number State | MN
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