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General NPI Number Information
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NPI Number | 1760649701
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Entity Type | Organization
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Legal Business Name | KAPPLE DENTAL ASSOCIATES, P.C.
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 12/31/2014
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Provider Practice Location Address
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Address Line | 400 ELM
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City | WILLIAMSBURG
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State | IA
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Zip | 52361-0510
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Country | US
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Telephone | 319-668-1221
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Fax | 319-668-2949
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Provider Business Mailing Address
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Address Line | PO BOX 510
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City | WILLIAMSBURG
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State | IA
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Zip | 52361-0510
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Country | US
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Telephone | 319-668-1221
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Fax | 319-668-2949
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAMELA G KAPPLE
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Credential | DDS
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Telephone | 319-668-1221
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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 | 6539
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License Number State | IA
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