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General NPI Number Information
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NPI Number | 1972256733
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Entity Type | Organization
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Legal Business Name | ZOLA DENTAL NAMPA, LLC
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 3161 E GREENHURST RD
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City | NAMPA
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State | ID
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Zip | 83686-8655
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Country | US
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Telephone | 208-466-9915
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Fax | 208-466-6625
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Provider Business Mailing Address
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Address Line | 3161 E GREENHURST RD
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City | NAMPA
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State | ID
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Zip | 83686-8655
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Country | US
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Telephone | 208-466-9915
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Fax | 208-466-6625
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Authorized Official
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Title or Position | INSURANCE COORDINATOR
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Name | LINDSEY SKAAR
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Credential |
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Telephone | 208-466-9915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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