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General NPI Number Information
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NPI Number | 1811340409
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Entity Type | Individual
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Provider Name | ELIZABETH K LAABS D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 2775 WINNETKA AVE N
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City | NEW HOPE
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State | MN
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Zip | 55427-2830
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Country | US
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Telephone | 763-545-3010
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Fax | 763-595-0543
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Provider Business Mailing Address
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Address Line | 5727 W 42ND ST
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-3101
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Country | US
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Telephone | 612-275-1846
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 016.0133924
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D13697
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License Number State | MN
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