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General NPI Number Information
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NPI Number | 1508119280
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Entity Type | Organization
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Legal Business Name | VALUECARE DENTAL, LLC
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 233 N HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67214-4903
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Country | US
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Telephone | 316-440-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 233 N HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67214-4903
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Country | US
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Telephone | 316-440-6400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. CHRISTOPHER MAJORS
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Credential | DDS
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Telephone | 316-650-5245
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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 | 60878
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License Number State | KS
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