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General NPI Number Information
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NPI Number | 1013452408
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Entity Type | Organization
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Legal Business Name | JOSEPH G BABA DDS PA
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 4620 E DOUGLAS AVE STE 102
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City | WICHITA
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State | KS
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Zip | 67208-3957
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Country | US
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Telephone | 316-263-2444
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Fax | 316-260-2401
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Provider Business Mailing Address
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Address Line | 4620 E DOUGLAS AVE STE 102
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City | WICHITA
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State | KS
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Zip | 67208-3900
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Country | US
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Telephone | 316-263-2444
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Fax | 316-260-2401
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Authorized Official
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Title or Position | CEO
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Name | MARK MCLAREN
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Credential | DDS, DABCP, DABDSM
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Telephone | 316-263-2444
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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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