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General NPI Number Information
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NPI Number | 1659264190
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Entity Type | Organization
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Legal Business Name | KUPNIEWSKI DENTISTRY PLLC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 2330 W 38TH ST
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City | ERIE
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State | PA
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Zip | 16506-4564
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Country | US
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Telephone | 814-835-8300
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Fax | 814-833-2890
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Provider Business Mailing Address
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Address Line | 2266 PINNACLE CT
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City | ERIE
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State | PA
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Zip | 16506-6438
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Country | US
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Telephone | 814-872-5057
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHEN D KUPNIEWSKI
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Credential | DMD
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Telephone | 814-873-5057
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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 |
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License Number State |
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