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General NPI Number Information
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NPI Number | 1306221734
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Entity Type | Organization
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Legal Business Name | KALABARI INC
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 240 W ALEXIS RD STE F
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City | TOLEDO
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State | OH
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Zip | 43612-5110
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Country | US
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Telephone | 419-475-5450
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Fax |
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Provider Business Mailing Address
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Address Line | 240 W ALEXIS RD STE F
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City | TOLEDO
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State | OH
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Zip | 43612-5110
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Country | US
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Telephone | 419-475-5450
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. GIFT NGO
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Credential |
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Telephone | 419-475-5450
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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 | 30.015232
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License Number State | OH
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