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General NPI Number Information
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NPI Number | 1710992102
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Entity Type | Individual
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Provider Name | STUART ROY KALMUS II D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5970 BABCOCK RD
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City | SAN ANTONIO
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State | TX
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Zip | 78240-2136
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Country | US
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Telephone | 210-691-1200
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Fax | 210-691-5064
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Provider Business Mailing Address
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Address Line | 13203 CIRCLE N DR W
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City | HELOTES
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State | TX
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Zip | 78023-4117
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Country | US
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Telephone | 210-695-2353
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 012850
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License Number State | TX
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