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General NPI Number Information
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NPI Number | 1114208634
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Entity Type | Organization
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Legal Business Name | ADAM KRISTOFF, D.D.S., P.C.
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Dates
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Enumeration Date | 08/30/2011
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Last Update Date | 08/30/2011
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Provider Practice Location Address
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Address Line | 6414 RIVER PLACE BLVD SUITE 101
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City | AUSTIN
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State | TX
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Zip | 78730-1112
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Country | US
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Telephone | 512-501-6022
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Fax | 512-284-8871
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Provider Business Mailing Address
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Address Line | 6414 RIVER PLACE BLVD SUITE 101
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City | AUSTIN
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State | TX
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Zip | 78730-1112
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Country | US
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Telephone | 512-501-6022
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Fax | 512-284-8871
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Authorized Official
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Title or Position | OWNER
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Name | MR. ADAM KRISTOFF
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Credential | DDS
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Telephone | 512-501-6022
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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 | 20544
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License Number State | TX
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