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General NPI Number Information
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NPI Number | 1043746910
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Entity Type | Organization
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Legal Business Name | KD PIPER ENTERPRISES
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 1240 E MAIN ST
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City | SPRINGFIELD
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State | OH
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Zip | 45503-4463
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Country | US
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Telephone | 937-323-3400
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Fax | 937-323-3403
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Provider Business Mailing Address
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Address Line | 3701 N HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43214-3520
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Country | US
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Telephone | 614-263-4040
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Fax | 614-267-7074
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Authorized Official
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Title or Position | OWNER / DENTIST
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Name | DR. KRISTIN D PIPER
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Credential | DDS
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Telephone | 614-263-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 22784
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License Number State | OH
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