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General NPI Number Information
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NPI Number | 1043824832
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Entity Type | Organization
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Legal Business Name | PLEASANT DENTAL CARE KC
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 912 E 63RD ST STE 100
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City | KANSAS CITY
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State | MO
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Zip | 64110-3439
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Country | US
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Telephone | 816-523-2221
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Fax |
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Provider Business Mailing Address
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Address Line | 11800 E 56TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64133-3039
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Country | US
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Telephone | 816-616-7380
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JOSEPH ROBERT PLEASANT
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Credential | DDS
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Telephone | 816-616-7380
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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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