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General NPI Number Information
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NPI Number | 1740719285
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Entity Type | Organization
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Legal Business Name | KIUFTIS & SIMPSON DENTAL PARTNERSHIP
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 06/08/2017
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Provider Practice Location Address
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Address Line | 2000 20TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4216
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Country | US
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Telephone | 661-323-7334
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Fax | 661-323-7334
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Provider Business Mailing Address
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Address Line | 2000 20TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4216
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Country | US
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Telephone | 661-323-7337
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Fax | 661-323-7334
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Authorized Official
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Title or Position | PRESIDENT
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Name | JARED SIMPSON
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Credential | DDS
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Telephone | 661-323-7337
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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 |
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License Number State |
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