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General NPI Number Information
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NPI Number | 1063203727
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Entity Type | Organization
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Legal Business Name | ANDREW J KAPUST DDS PS
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 344 CLEVELAND AVE SE STE J
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City | TUMWATER
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State | WA
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Zip | 98501-3342
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Country | US
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Telephone | 360-790-4578
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Fax | 360-790-4578
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Provider Business Mailing Address
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Address Line | 344 CLEVELAND AVE SE STE J
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City | TUMWATER
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State | WA
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Zip | 98501-3342
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Country | US
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Telephone | 360-791-3985
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Fax |
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. ANDREW J KAPUST
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Credential | DDS
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Telephone | 360-791-3985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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