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General NPI Number Information
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NPI Number | 1780785642
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Entity Type | Individual
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Provider Name | KURT ALAN RUPENTHAL DDS
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5790 E 131ST STREET SUITE 110
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City | CARMEL
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State | IN
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Zip | 46033
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Country | US
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Telephone | 317-844-2810
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Fax | 317-844-0377
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Provider Business Mailing Address
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Address Line | 5790 E 131ST ST SUITE 110
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City | CARMEL
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State | IN
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Zip | 46033-8394
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Country | US
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Telephone | 317-844-2810
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12008728
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License Number State | IN
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