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General NPI Number Information
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NPI Number | 1689389314
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Entity Type | Organization
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Legal Business Name | KALAMBAYI T KABASELA DDS PC
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 8380 COLESVILLE ROAD SUITE 750
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City | SILVER SPRING
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State | MD
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Zip | 20910
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Country | US
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Telephone | 301-585-0405
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Fax | 301-585-0512
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Provider Business Mailing Address
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Address Line | 8380 COLESVILLE ROAD SUITE 750
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City | SILVER SPRING
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State | MD
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Zip | 20910
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Country | US
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Telephone | 301-585-0405
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Fax | 301-585-0512
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Authorized Official
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Title or Position | OWNER
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Name | KALAMBAYI T KABASELA
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Credential | D.D.S.
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Telephone | 301-585-0405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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