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General NPI Number Information
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NPI Number | 1619405578
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Entity Type | Organization
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Legal Business Name | KAIZEN FAMILY DENTAL
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Dates
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Enumeration Date | 05/23/2017
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 7665 MONARCH CT STE 103
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City | WEST CHESTER
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State | OH
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Zip | 45069-3830
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Country | US
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Telephone | 513-463-3000
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Fax | 513-847-4323
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Provider Business Mailing Address
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Address Line | 7665 MONARCH CT STE 103
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City | WEST CHESTER
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State | OH
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Zip | 45069-3830
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Country | US
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Telephone | 513-463-3000
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Fax | 513-847-4323
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAHIM ABDUL
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Credential | BDS
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Telephone | 216-256-7512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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