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General NPI Number Information
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NPI Number | 1710754668
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Entity Type | Organization
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Legal Business Name | ARTURA DENTAL
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 15850 87TH ST NE STE 108
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City | OTSEGO
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State | MN
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Zip | 55330-6585
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Country | US
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Telephone | 763-232-3692
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Fax |
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Provider Business Mailing Address
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Address Line | 10583 NOBLE CIR N
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-1122
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING DOCTOR
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Name | DR. UCHENNA UMERAH
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Credential | DDS
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Telephone | 763-232-3692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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