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General NPI Number Information
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NPI Number | 1912078700
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Entity Type | Organization
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Legal Business Name | KNUTSON & HUXFORD DDS, P.A.
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 315 18TH ST SE
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City | OWATONNA
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State | MN
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Zip | 55060-4005
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Country | US
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Telephone | 507-451-2600
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Fax | 507-444-0560
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Provider Business Mailing Address
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Address Line | 315 18TH ST SE
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City | OWATONNA
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State | MN
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Zip | 55060-4005
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Country | US
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Telephone | 507-451-2600
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Fax | 507-444-0560
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | NANCY J STEWART
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Credential | CDA
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Telephone | 507-451-2600
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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 | 10720
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License Number State | MN
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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 | 11401
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 8498
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License Number State | MN
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