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General NPI Number Information
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NPI Number | 1235909383
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Entity Type | Individual
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Provider Name | KANE JAJIEH DDS
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Gender | Male
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 1050 E ADMIRAL DOYLE DR STE C
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City | NEW IBERIA
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State | LA
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Zip | 70560-6711
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Country | US
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Telephone | 909-895-9967
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Fax |
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Provider Business Mailing Address
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Address Line | 231 SAINT NAZAIRE RD APT 3215
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City | BROUSSARD
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State | LA
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Zip | 70518-4237
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Country | US
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Telephone | 415-502-5800
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Fax | 415-476-3448
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7732
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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