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General NPI Number Information
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NPI Number | 1740709724
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Entity Type | Individual
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Provider Name | CHRISTOPHER TREINEN DDS
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Gender | Male
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Dates
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Enumeration Date | 09/12/2017
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Last Update Date | 09/12/2017
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Provider Practice Location Address
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Address Line | 984125 NE MED CTR
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City | OMAHA
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State | NE
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Zip | 68198-0001
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Country | US
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Telephone | 712-470-6291
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Fax |
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Provider Business Mailing Address
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Address Line | 15317 WHITMORE ST
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City | BENNINGTON
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State | NE
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Zip | 68007-7495
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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 |
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 7403
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number | 7403
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License Number State | NE
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Taxonomy #3
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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 | 7403
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License Number State | NE
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