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General NPI Number Information
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NPI Number | 1548646227
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Entity Type | Organization
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Legal Business Name | KURT L GLENDENING DDSPA
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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 | 1835 NW TOPEKA BLVD SUITE#111
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City | TOPEKA
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State | KS
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Zip | 66608-1888
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Country | US
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Telephone | 785-235-6219
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Fax | 785-232-9410
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Provider Business Mailing Address
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Address Line | 1835 NW TOPEKA BLVD SUITE#111
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City | TOPEKA
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State | KS
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Zip | 66608-1888
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Country | US
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Telephone | 785-235-6219
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Fax | 785-232-9410
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KURT LYN GLENDENING
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Credential | DDS
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Telephone | 785-235-6219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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