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General NPI Number Information
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NPI Number | 1700631181
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Entity Type | Organization
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Legal Business Name | KENT IMPLANT& FAMILY DENTISTRY,NAGY HANNA,DMD,LLC
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Dates
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Enumeration Date | 04/19/2024
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 110 E ELM ST
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City | KENT
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State | OH
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Zip | 44240-3822
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Country | US
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Telephone | 330-673-7155
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Fax |
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Provider Business Mailing Address
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Address Line | 35715 MICHAEL DR
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City | SOLON
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State | OH
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Zip | 44139-5673
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DMD
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Name | NAGY HANNA
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Credential |
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Telephone | 630-863-9210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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