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General NPI Number Information
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NPI Number | 1558496869
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Entity Type | Organization
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Legal Business Name | AFFORDABLE FAMILY DENTAL CARE PLC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 206 EAST ROOSEVELT AVENUE
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City | BATTLE CREEK
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State | MI
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Zip | 49017
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Country | US
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Telephone | 269-965-2301
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Fax | 269-965-7989
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Provider Business Mailing Address
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Address Line | 206 EAST ROOSEVELT AVENUE
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City | BATTLE CREEK
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State | MI
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Zip | 49017
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Country | US
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Telephone | 269-965-2301
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Fax | 269-965-7989
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MRS. CAROLINE KONTOR
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Credential |
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Telephone | 269-965-2301
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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 |
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License Number State |
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