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General NPI Number Information
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NPI Number | 1073659827
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Entity Type | Individual
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Provider Name | ALAN DAVID KUSHNER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 525 BOLLINGER CANYON WAY #100
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City | SAN RAMON
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State | CA
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Zip | 94582-4935
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Country | US
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Telephone | 925-968-1748
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Fax | 925-831-2549
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Provider Business Mailing Address
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Address Line | PO BOX 3025
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City | DANVILLE
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State | CA
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Zip | 94526-8025
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Country | US
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Telephone | 925-831-8795
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Fax | 925-831-2549
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DG031818
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License Number State | CA
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