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General NPI Number Information
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NPI Number | 1952357212
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Entity Type | Organization
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Legal Business Name | DRS. LEAMAN, SETNICAR & PIACSEK, S.C.
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 820 SUMMIT AVE
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City | OCONOMOWOC
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State | WI
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Zip | 53066-3920
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Country | US
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Telephone | 262-567-4466
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Fax | 262-567-5957
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Provider Business Mailing Address
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Address Line | 820 SUMMIT AVE
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City | OCONOMOWOC
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State | WI
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Zip | 53066-3920
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Country | US
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Telephone | 262-567-4466
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Fax | 262-567-5957
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARY SETNICAR
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Credential |
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Telephone | 262-567-4466
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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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