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General NPI Number Information
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NPI Number | 1962553305
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Entity Type | Organization
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Legal Business Name | N.E.W. SNORING & SLEEP APNEA CENTER, S.C.
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Dates
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Enumeration Date | 01/14/2007
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 2343 E MASON ST
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City | GREEN BAY
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State | WI
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Zip | 54302-3764
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Country | US
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Telephone | 920-468-4646
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9731
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City | GREEN BAY
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State | WI
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Zip | 54308-9731
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Country | US
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Telephone | 920-468-4646
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN E. PATRICKUS
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Credential | DDS
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Telephone | 920-468-4646
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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 |
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License Number State |
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