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General NPI Number Information
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NPI Number | 1306836291
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Entity Type | Individual
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Provider Name | JOSEPH GENDLER DDS
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Gender | Male
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 1222 MAINSTREET
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City | HOPKINS
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State | MN
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Zip | 55343-7521
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Country | US
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Telephone | 952-836-1113
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Fax | 952-836-1184
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Provider Business Mailing Address
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Address Line | 1222 MAINSTREET
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City | HOPKINS
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State | MN
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Zip | 55343-7521
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Country | US
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Telephone | 952-836-1113
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Fax | 952-836-1184
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D11258
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | D11258
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License Number State | MN
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