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General NPI Number Information
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NPI Number | 1932129640
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Entity Type | Organization
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Legal Business Name | WEBB ORTHODONTICS, PC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 313 W 38TH ST STE 1
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City | SCOTTSBLUFF
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State | NE
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Zip | 69361-4770
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Country | US
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Telephone | 308-630-0670
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Fax | 308-630-0701
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Provider Business Mailing Address
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Address Line | 313 W. 38TH ST. SUITE 1
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City | SCOTTSBLUFF
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State | NE
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Zip | 69361
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Country | US
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Telephone | 308-630-0670
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Fax | 308-630-0701
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Authorized Official
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Title or Position | OWNER
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Name | SAMI JO WEBB
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Credential | DDS, MS
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Telephone | 308-630-0670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6281
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License Number State | NE
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