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NPI 1710648977

NPI 1710648977 : BENJAMIN M KASEFF DMD INC : LOVELAND, OH

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General NPI Number Information
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    NPI Number           |    1710648977
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    Entity Type          |    Organization 
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    Legal Business Name  |    BENJAMIN M KASEFF DMD INC 
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Dates
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    Enumeration Date     |    01/09/2022
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    Last Update Date     |    01/09/2022
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Provider Practice Location Address
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    Address Line         |    6417 BRANCH HILL GUINEA PIKE SUITE 101 
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    City                 |    LOVELAND
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    State                |    OH
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    Zip                  |    45140
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    Country              |    US
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    Telephone            |    513-683-4800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6417 BRANCH HILL GUINEA PIKE SUITE 101 
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    City                 |    LOVELAND
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    State                |    OH
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    Zip                  |    45140
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    Country              |    US
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    Telephone            |    513-683-4800
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. BENJAMIN M KASEFF 
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    Credential           |    DMD
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    Telephone            |    513-683-4800
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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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