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General NPI Number Information
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NPI Number | 1831227693
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Entity Type | Individual
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Provider Name | KEVIN JOHN URBANEK D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 135 DOWNTOWNER PLZ
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City | COSHOCTON
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State | OH
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Zip | 43812-1924
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Country | US
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Telephone | 740-622-4421
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Fax |
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Provider Business Mailing Address
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Address Line | 2567 ARBOR PARK
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City | NEWARK
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State | OH
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Zip | 43055-7056
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Country | US
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Telephone | 740-587-7976
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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 | 21884
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License Number State | OH
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