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General NPI Number Information
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NPI Number | 1275746976
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Entity Type | Organization
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Legal Business Name | ANDRE KANDY, DDS, PA
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 212 N HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67214-4935
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Country | US
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Telephone | 316-684-2836
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Fax |
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Provider Business Mailing Address
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Address Line | 212 N HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67214-4935
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Country | US
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Telephone | 316-684-2836
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDRE KANDY
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Credential | DDS
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Telephone | 316-684-2836
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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 | 6997
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License Number State | KS
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