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General NPI Number Information
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NPI Number | 1962646851
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Entity Type | Organization
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Legal Business Name | REUSSER & REUSSER, L.L.C
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 05/02/2009
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Provider Practice Location Address
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Address Line | 13121 E 21ST ST N SUITE 107
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City | WICHITA
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State | KS
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Zip | 67230-7402
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Country | US
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Telephone | 316-630-9500
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Fax | 316-630-9502
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Provider Business Mailing Address
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Address Line | 13121 E 21ST ST N SUITE 107
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City | WICHITA
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State | KS
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Zip | 67230-7402
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Country | US
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Telephone | 316-630-9500
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Fax | 316-630-9502
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. TERRA L REUSSER
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Credential | D.D.S.
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Telephone | 316-630-9500
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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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