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General NPI Number Information
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NPI Number | 1700377009
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Entity Type | Organization
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Legal Business Name | AKR ENDODONTICS, LLC
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 1431 US HWY 61
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City | FESTUS
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State | MO
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Zip | 63028
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Country | US
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Telephone | 636-933-7001
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Fax |
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Provider Business Mailing Address
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Address Line | 1431 US HWY 61
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City | FESTUS
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State | MO
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Zip | 63028
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Country | US
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Telephone | 636-933-7001
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Fax | 636-933-7002
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADAM REMM
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Credential | DMD, MS
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Telephone | 636-448-3873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 2009004430
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License Number State | MO
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