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General NPI Number Information
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NPI Number | 1164738472
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Entity Type | Individual
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Provider Name | EUGENE S KULAGA DDS
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Gender | Male
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 05/13/2023
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Provider Practice Location Address
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Address Line | 1297 S TAMIAMI TRAIL
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City | OSPREY
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State | FL
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Zip | 34229
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Country | US
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Telephone | 941-484-4400
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Fax | 941-218-6681
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Provider Business Mailing Address
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Address Line | 5899 WHITFIELD AVE STE 105
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City | SARASOTA
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State | FL
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Zip | 34243-3127
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Country | US
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Telephone | 941-351-4468
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Fax | 941-351-9361
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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 | DN21647
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License Number State | FL
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