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General NPI Number Information
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NPI Number | 1710433263
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Entity Type | Organization
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Legal Business Name | AFFORDABLE DENTURES - AKRON, VICTOR KULICK, DDS, INC
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Dates
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Enumeration Date | 08/25/2016
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Last Update Date | 08/25/2016
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Provider Practice Location Address
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Address Line | 2863 S ARLINGTON RD STE 12
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City | AKRON
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State | OH
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Zip | 44312-4705
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Country | US
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Telephone | 330-645-6640
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Fax |
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Provider Business Mailing Address
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Address Line | 2863 S ARLINGTON RD STE 12
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City | AKRON
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State | OH
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Zip | 44312-4705
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Country | US
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Telephone | 330-645-6640
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | VICTOR KULICK
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Credential |
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Telephone | 330-645-6640
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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 | 30.023116
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License Number State | OH
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