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General NPI Number Information
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NPI Number | 1619071222
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Entity Type | Individual
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Provider Name | KIMBERLY J BACHMANN DDS
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Gender | Female
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 04/06/2015
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Provider Practice Location Address
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Address Line | 1946 W US HIGHWAY 40
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City | GREENCASTLE
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State | IN
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Zip | 46135-8706
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Country | US
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Telephone | 765-653-8441
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Fax | 765-653-5936
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Provider Business Mailing Address
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Address Line | 869 N CENTRE PKWY
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City | ROCKVILLE
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State | IN
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Zip | 47872-8035
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Country | US
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Telephone | 765-720-6411
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Fax |
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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 | 12010600A
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License Number State | IN
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