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General NPI Number Information
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NPI Number | 1710588066
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Entity Type | Individual
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Provider Name | MARC CHRISTIAN KAY DMD
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Gender | Male
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Dates
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Enumeration Date | 11/03/2020
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 1626 RTE 130
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-3000
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Country | US
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Telephone | 267-469-0016
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Fax |
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Provider Business Mailing Address
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Address Line | 340 W 28TH ST APT 9J
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City | NEW YORK
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State | NY
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Zip | 10001-4741
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Country | US
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Telephone | 917-436-0832
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 062000
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI02746900
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License Number State | NJ
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