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General NPI Number Information
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NPI Number | 1689910978
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Entity Type | Organization
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Legal Business Name | ALAN R. KESSLER, DDS
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Dates
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Enumeration Date | 12/14/2012
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Last Update Date | 12/14/2012
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Provider Practice Location Address
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Address Line | 2404 POTTERS RD SUITE 400
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-4335
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Country | US
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Telephone | 757-340-8805
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Fax | 757-340-8803
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Provider Business Mailing Address
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Address Line | 2404 POTTERS RD SUITE 400
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-4335
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Country | US
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Telephone | 757-340-8805
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Fax | 757-340-8803
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ALAN R KESSLER
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Credential | DDS
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Telephone | 757-340-8805
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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 | 0401007733
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License Number State | VA
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