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General NPI Number Information
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NPI Number | 1396867107
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Entity Type | Organization
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Legal Business Name | DR WILLIAM S KACHELE JR DMD
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 751 RANCHEROS DRIVE SUITE 3
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City | SAN MARCOS
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State | CA
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Zip | 92069
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Country | US
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Telephone | 760-471-7115
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Fax | 760-471-6136
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Provider Business Mailing Address
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Address Line | 751 RANCHEROS DRIVE SUITE 3
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City | SAN MARCOS
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State | CA
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Zip | 92069
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Country | US
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Telephone | 760-471-7115
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Fax | 760-471-6136
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM S KACHELE JR.
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Credential | DMD
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Telephone | 760-471-7115
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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 | 34858
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License Number State | CA
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