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General NPI Number Information
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NPI Number | 1114196516
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Entity Type | Organization
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Legal Business Name | GENTLE DENTISTRY P. A
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 4931 W 6TH ST SUITE #114
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City | LAWRENCE
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State | KS
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Zip | 66049-4830
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Country | US
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Telephone | 785-312-9912
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Fax | 785-312-7333
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Provider Business Mailing Address
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Address Line | 4931 W 6TH ST SUITE 114
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City | LAWRENCE
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State | KS
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Zip | 66049-4830
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Country | US
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Telephone | 785-312-9912
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Fax | 785-312-7333
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTINE F. HOANG-NGUYEN
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Credential | DDS
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Telephone | 785-312-9912
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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 | 7101
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License Number State | KS
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