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General NPI Number Information
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NPI Number | 1619927092
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Entity Type | Individual
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Provider Name | CHARLES H KLESTINSKE DDS
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 32980 W 83RD STREET
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City | DESOTO
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State | KS
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Zip | 66018
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Country | US
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Telephone | 913-583-3233
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Fax | 913-585-1510
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Provider Business Mailing Address
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Address Line | PO BOX 418
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City | DESOTO
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State | KS
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Zip | 66018
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Country | US
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Telephone | 913-583-3233
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Fax | 913-585-1510
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6197
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License Number State | KS
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