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General NPI Number Information
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NPI Number | 1548494701
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Entity Type | Organization
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Legal Business Name | HAMPTON FAMILY DENTISTRY
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Dates
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Enumeration Date | 05/04/2009
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 400 MIDWAY PARK DR
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City | MIDDLETOWN
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State | NY
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Zip | 10940-2656
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Country | US
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Telephone | 845-344-4336
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Fax | 845-344-4347
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Provider Business Mailing Address
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Address Line | 400 MIDWAY PARK DR
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City | MIDDLETOWN
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State | NY
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Zip | 10940-2656
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Country | US
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Telephone | 845-344-4336
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Fax | 845-344-4347
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY KIM
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Credential |
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Telephone | 845-344-4336
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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 | 044694
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License Number State | NY
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