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General NPI Number Information
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NPI Number | 1871204404
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Entity Type | Organization
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Legal Business Name | BENJAMIN D AHLBRECHT DDS PC
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 8902 N MERIDIAN ST STE 102
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-5306
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Country | US
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Telephone | 317-571-5000
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Fax | 317-571-5010
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Provider Business Mailing Address
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Address Line | 8902 N MERIDIAN ST STE 102
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-5306
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Country | US
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Telephone | 317-571-5000
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Fax | 317-571-5010
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Authorized Official
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Title or Position | OWNER
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Name | DR. BENJAMIN DOUGLAS AHLBRECHT
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Credential | DDS
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Telephone | 317-617-0014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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