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General NPI Number Information
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NPI Number | 1982238309
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Entity Type | Organization
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Legal Business Name | REUSSER AND REUSSER, LLC
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 02/25/2020
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Provider Practice Location Address
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Address Line | 1629 POYNTZ AVE
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City | MANHATTAN
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State | KS
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Zip | 66502-4148
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Country | US
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Telephone | 785-776-1771
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Fax |
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Provider Business Mailing Address
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Address Line | 1629 POYNTZ AVE
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City | MANHATTAN
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State | KS
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Zip | 66502-4148
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Country | US
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Telephone | 785-776-1771
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Fax |
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Authorized Official
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Title or Position | OWNDER
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Name | TY M REUSSER
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Credential | DDS
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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 | 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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