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General NPI Number Information
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NPI Number | 1346346053
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Entity Type | Organization
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Legal Business Name | EDWARD W KWIATKOWSKI DDS MARY ANNE MARSCHIK NAWAE OSMAN DDS PROFESSION
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 03/17/2009
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Provider Practice Location Address
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Address Line | 880 CASS STREET SUITE 207
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City | MONTEREY
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State | CA
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Zip | 93940
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Country | US
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Telephone | 831-372-4411
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Fax | 831-372-3954
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Provider Business Mailing Address
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Address Line | 880 CASS STREET SUITE 207
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City | MONTEREY
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State | CA
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Zip | 93940
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Country | US
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Telephone | 831-372-4411
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Fax | 831-372-3954
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Authorized Official
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Title or Position | DENTIST
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Name | DR. EDWARD W KWIATKOWSKI
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Credential | DDS
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Telephone | 831-372-4411
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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 | DL034138
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License Number State | CA
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