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General NPI Number Information
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NPI Number | 1043699853
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Entity Type | Organization
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Legal Business Name | KATHRYN N STANLEY DDS CHARTERED
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 8575 W 110TH ST SUITE 110
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City | OVERLAND PARK
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State | KS
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Zip | 66210-1868
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Country | US
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Telephone | 913-345-0331
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Fax | 913-345-2601
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Provider Business Mailing Address
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Address Line | 8575 W 110TH ST SUITE 110
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City | OVERLAND PARK
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State | KS
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Zip | 66210-1868
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Country | US
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Telephone | 913-345-0331
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. KATHRYN STANLEY
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Credential | DDS
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Telephone | 913-345-0331
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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 | 60472
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License Number State | KS
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