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General NPI Number Information
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NPI Number | 1174818595
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Entity Type | Organization
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Legal Business Name | ALAN KELMAN, DDS, PA
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 5909 SOUTH CONGRESS AVENUE
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City | ATLANTIS
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State | FL
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Zip | 33462
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Country | US
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Telephone | 561-967-6453
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Fax | 561-431-5866
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Provider Business Mailing Address
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Address Line | 5909 SOUTH CONGRESS AVENUE
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City | ATLANTIS
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State | FL
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Zip | 33462
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Country | US
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Telephone | 561-967-6453
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Fax | 561-431-5866
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Authorized Official
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Title or Position | SOLE OWNER OF ALAN KELMAN, DDS, PA
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Name | ALAN KELMAN
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Credential | DDS
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Telephone | 561-967-6453
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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 | DN17054
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License Number State | FL
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