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General NPI Number Information
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NPI Number | 1831828011
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Entity Type | Organization
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Legal Business Name | AMES AND PETERSON ORTHODONTICS, PLLC.
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Dates
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Enumeration Date | 06/06/2022
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 1550 30TH AVE S
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City | MOORHEAD
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State | MN
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Zip | 56560-5150
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Country | US
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Telephone | 218-236-1322
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Fax | 218-359-0719
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Provider Business Mailing Address
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Address Line | 1550 30TH AVE S
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City | MOORHEAD
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State | MN
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Zip | 56560-5150
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Country | US
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Telephone | 218-236-1322
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Fax | 218-359-0719
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Authorized Official
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Title or Position | IN-HOUSE INSURANCE SPECIALIST
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Name | MRS. TORIE L MOODIE
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Credential |
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Telephone | 218-359-3210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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