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NPI 1871537886

NPI 1871537886 : STANLEY HARRIS KESSLER D.D.S. : BETHEL, CT

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General NPI Number Information
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    NPI Number           |    1871537886
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    Entity Type          |    Individual 
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    Provider Name        |    STANLEY HARRIS KESSLER D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/16/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    14 ELIZABETH ST 
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    City                 |    BETHEL
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    State                |    CT
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    Zip                  |    06801-2100
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    Country              |    US
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    Telephone            |    203-797-8070
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    Fax                  |    203-743-1321
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Provider Business Mailing Address
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    Address Line         |    14 ELIZABETH ST 
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    City                 |    BETHEL
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    State                |    CT
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    Zip                  |    06801-2100
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    Country              |    US
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    Telephone            |    203-797-8070
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    Fax                  |    203-743-1321
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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       |    005354
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    License Number State |    CT
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