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General NPI Number Information
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NPI Number | 1851456875
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Entity Type | Individual
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Provider Name | RUTA ZEKONIS DDS, MSD
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4131 SHELBY ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-3727
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Country | US
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Telephone | 317-784-2955
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Fax | 317-784-2036
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Provider Business Mailing Address
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Address Line | 3026 ALDWYCH CT
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City | GREENWOOD
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State | IN
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Zip | 46143-6942
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Country | US
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Telephone | 317-422-1605
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Fax | 317-534-3115
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12010649A
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License Number State | IN
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