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General NPI Number Information
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NPI Number | 1447393731
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Entity Type | Individual
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Provider Name | ANNETTE KUGELMANN DDS
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Gender | Female
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 92-605 MAKAKILO DR
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City | KAPOLEI
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State | HI
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Zip | 96707-1227
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Country | US
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Telephone | 808-672-0397
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Fax |
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Provider Business Mailing Address
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Address Line | 555 W BENJAMIN HOLT DR BUILDING B
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City | STOCKTON
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State | CA
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Zip | 95207-3839
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Country | US
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Telephone |
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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 | 2164
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License Number State | HI
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