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General NPI Number Information
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NPI Number | 1376739920
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Entity Type | Individual
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Provider Name | ASHA JANE KINRA D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 11/12/2008
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Provider Practice Location Address
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Address Line | 146 SOUTH INDUSTRIAL DR.
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City | SALINE
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State | MI
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Zip | 48176
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Country | US
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Telephone | 734-944-3594
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Fax | 734-944-3597
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Provider Business Mailing Address
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Address Line | 3024 ASPEN LANE
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City | ANN ARBOR
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State | MI
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Zip | 48108
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Country | US
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Telephone | 917-328-9871
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D7260
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901019864
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License Number State | MI
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