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General NPI Number Information
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NPI Number | 1932046596
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Entity Type | Organization
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Legal Business Name | PINE ISLAND DENTAL LLC
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 232 S MAIN ST
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City | PINE ISLAND
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State | MN
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Zip | 55963-9190
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Country | US
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Telephone | 715-833-8755
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Fax |
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Provider Business Mailing Address
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Address Line | 4607 ROYAL DR
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City | EAU CLAIRE
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State | WI
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Zip | 54701-2928
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Country | US
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Telephone | 715-833-8755
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Fax |
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | STEVE ROHRSCHEIB
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Credential |
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Telephone | 715-833-8755
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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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