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General NPI Number Information
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NPI Number | 1255485272
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Entity Type | Organization
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Legal Business Name | THOMAS F CHARAPATA, SC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 12/16/2008
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Provider Practice Location Address
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Address Line | 704 E LAYTON AVE
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City | MILWAUKEE
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State | WI
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Zip | 53207-5209
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Country | US
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Telephone | 414-483-1600
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Fax | 414-483-3174
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Provider Business Mailing Address
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Address Line | 704 E LAYTON AVE
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City | MILWAUKEE
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State | WI
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Zip | 53207-5209
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Country | US
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Telephone | 414-483-1600
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Fax | 414-483-3174
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS F CHARAPATA
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Credential | DDS
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Telephone | 414-483-1600
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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 | 3384
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License Number State | WI
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