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General NPI Number Information
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NPI Number | 1194975458
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Entity Type | Individual
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Provider Name | HELAINE KAN D.D.S., M.S.
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Gender | Female
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 01/10/2020
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Provider Practice Location Address
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Address Line | 81 GREGORY LN STE 240
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City | PLEASANT HILL
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State | CA
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Zip | 94523-4923
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Country | US
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Telephone | 925-322-0005
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Fax |
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Provider Business Mailing Address
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Address Line | 2125 WHITEHALL PL
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City | ALAMEDA
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State | CA
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Zip | 94501-6134
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 53002
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License Number State | CA
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