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General NPI Number Information
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NPI Number | 1700948288
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Entity Type | Organization
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Legal Business Name | KOPCZYK AND VIETH LLP
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2335 STERLINGTON RD SUITE 200
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City | LEXINGTON
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State | KY
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Zip | 40517-3937
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Country | US
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Telephone | 859-273-5556
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Fax | 859-245-2419
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Provider Business Mailing Address
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Address Line | 2335 STERLINGTON RD SUITE 200
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City | LEXINGTON
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State | KY
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Zip | 40517-3937
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Country | US
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Telephone | 859-273-5556
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Fax | 859-245-2419
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Authorized Official
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Title or Position | MAJORITY PARTNER
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Name | DR. LARRY R KOPCZYK
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Credential | DMD
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Telephone | 859-273-5556
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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 | 5746
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License Number State | KY
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