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General NPI Number Information
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NPI Number | 1083453096
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Entity Type | Organization
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Legal Business Name | HENDERSON KANE AND ANFRUNS DENTAL PARTNERSHIP
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 881 ALMA REAL DR APT 205A
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City | PACIFIC PALISADES
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State | CA
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Zip | 90272-5048
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Country | US
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Telephone | 310-454-0912
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Fax |
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Provider Business Mailing Address
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Address Line | 881 ALMA REAL DR APT 205A
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City | PACIFIC PALISADES
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State | CA
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Zip | 90272-5048
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | JOAN PI ANFRUNS
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Credential | DMD
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Telephone | 310-454-0912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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