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General NPI Number Information
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NPI Number | 1144439464
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Entity Type | Organization
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Legal Business Name | K & F, LLC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 603 N WAGGONER RD
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City | BLACKLICK
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State | OH
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Zip | 43004
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Country | US
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Telephone | 614-868-0977
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Fax | 614-868-9281
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Provider Business Mailing Address
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Address Line | 603 N WAGGONER RD
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City | BLACKLICK
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State | OH
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Zip | 43004
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Country | US
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Telephone | 614-868-0977
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Fax | 614-868-9281
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID MARTIN KRISTAL
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Credential | D.D.S.
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Telephone | 614-868-0977
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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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