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General NPI Number Information
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NPI Number | 1730222043
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Entity Type | Organization
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Legal Business Name | ZYSSET PC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 7555 S 57TH ST SUITE 1
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City | LINCOLN
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State | NE
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Zip | 68516-6663
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Country | US
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Telephone | 402-427-7171
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Fax | 402-423-7274
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Provider Business Mailing Address
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Address Line | 7555 S 57TH ST SUITE 1
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City | LINCOLN
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State | NE
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Zip | 68516-6663
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Country | US
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Telephone | 402-427-7171
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Fax | 402-423-7274
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Authorized Official
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Title or Position | BOARD CERTIFIED ORAL AND MAXILLOFAC
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Name | MONTE K ZYSSET
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Credential | DDS
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Telephone | 402-423-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 6203
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License Number State | NE
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