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General NPI Number Information
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NPI Number | 1932968013
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Entity Type | Individual
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Provider Name | SYDNEY GABRIELLE LEPKOWSKI DDS
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Gender | Female
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Dates
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Enumeration Date | 03/19/2024
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 12150 S 216TH PLZ
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City | GRETNA
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State | NE
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Zip | 68028-5023
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Country | US
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Telephone | 402-332-2748
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Fax |
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Provider Business Mailing Address
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Address Line | 2471 GLACIER DR
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City | PAPILLION
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State | NE
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Zip | 68046-3256
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Country | US
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Telephone | 402-320-3586
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 8016
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License Number State | NE
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