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General NPI Number Information
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NPI Number | 1891673638
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Entity Type | Organization
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Legal Business Name | SEVA DENTAL OHIO LLC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 35000 KAISER CT STE 201
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City | WILLOUGHBY
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State | OH
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Zip | 44094-4280
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Country | US
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Telephone | 440-269-3983
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Fax |
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Provider Business Mailing Address
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Address Line | 35000 KAISER CT STE 201
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City | WILLOUGHBY
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State | OH
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Zip | 44094-4280
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Country | US
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Telephone | 440-269-3983
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF RCM
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Name | KELLY ROLNICKI
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Credential |
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Telephone | 708-372-4773
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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 |
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License Number State |
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