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General NPI Number Information
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NPI Number | 1548646219
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Entity Type | Individual
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Provider Name | NATHAN ADAM KUPPERMAN II D.M.D
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Gender | Male
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 221 E 7TH AVE
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City | TALLAHASSEE
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State | FL
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Zip | 32303-5518
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Country | US
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Telephone | 850-222-2446
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Fax | 850-385-3700
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Provider Business Mailing Address
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Address Line | 221 E 7TH AVE
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City | TALLAHASSEE
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State | FL
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Zip | 32303-5518
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Country | US
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Telephone | 850-222-2446
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Fax | 850-385-3700
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN21467
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License Number State | FL
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