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NPI 1700540127

NPI 1700540127 : JULIE E BABCOCK DDS, PA : OVERLAND PARK, KS

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General NPI Number Information
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    NPI Number           |    1700540127
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    Entity Type          |    Organization 
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    Legal Business Name  |    JULIE E BABCOCK DDS, PA 
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Dates
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    Enumeration Date     |    10/22/2021
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    Last Update Date     |    10/25/2021
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Provider Practice Location Address
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    Address Line         |    6806 W 83RD ST 
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    City                 |    OVERLAND PARK
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    State                |    KS
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    Zip                  |    66204-3956
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    Country              |    US
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    Telephone            |    913-814-7755
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    Fax                  |    913-814-7455
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Provider Business Mailing Address
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    Address Line         |    6806 W 83RD ST 
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    City                 |    OVERLAND PARK
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    State                |    KS
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    Zip                  |    66204-3956
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    Country              |    US
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    Telephone            |    913-814-7755
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    Fax                  |    913-814-7455
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     JULIE  BABCOCK 
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    Credential           |    DC
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    Telephone            |    913-814-7755
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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       |    
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    License Number State |    
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