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General NPI Number Information
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NPI Number | 1174928030
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Entity Type | Individual
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Provider Name | KENDALL ASHLEY SAFFNER DMD
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Gender | Female
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 07/17/2015
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Provider Practice Location Address
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Address Line | 61 ORANGE PLAZA LN
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City | MIDDLETOWN
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State | NY
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Zip | 10940-2254
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Country | US
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Telephone | 877-298-2320
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Fax |
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Provider Business Mailing Address
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Address Line | 63 MAPLE PKWY
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City | SPARTA
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State | NJ
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Zip | 07871-2012
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Country | US
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Telephone |
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Fax |
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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 | 50 057901
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License Number State | NY
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