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General NPI Number Information
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NPI Number | 1992302285
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Entity Type | Organization
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Legal Business Name | ERIC A AHRENS DDS LLC
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 3915 4TH AVE
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City | KEARNEY
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State | NE
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Zip | 68845-2838
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Country | US
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Telephone | 308-234-2828
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Fax | 308-234-1099
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Provider Business Mailing Address
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Address Line | 3915 4TH AVE
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City | KEARNEY
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State | NE
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Zip | 68845-2838
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Country | US
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Telephone | 308-234-2828
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Fax | 308-234-1099
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. ERIC A AHRENS
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Credential | DDS
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Telephone | 402-641-2962
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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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