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General NPI Number Information
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NPI Number | 1346242369
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Entity Type | Individual
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Provider Name | BARBARA BISANG KING D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 18 MDG UNIT 5142
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City | APO
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State | AP
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Zip | 96368-5142
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Country | US
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Telephone | 315-630-4806
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 80 BOX 6
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City | APO
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State | AP
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Zip | 96367-9998
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Country | US
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Telephone | 703-863-7975
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Fax |
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 0401008160
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License Number State | VA
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