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General NPI Number Information
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NPI Number | 1881998201
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Entity Type | Organization
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Legal Business Name | RAPPOLD FAMILY DENTISTRY
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Dates
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Enumeration Date | 12/28/2010
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Last Update Date | 12/28/2010
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Provider Practice Location Address
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Address Line | 20 LOSSON RD STE 110
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City | CHEEKTOWAGA
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State | NY
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Zip | 14227-2379
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Country | US
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Telephone | 716-668-9700
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Fax | 716-668-9702
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Provider Business Mailing Address
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Address Line | 20 LOSSON RD STE 110
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City | CHEEKTOWAGA
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State | NY
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Zip | 14227-2379
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Country | US
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Telephone | 716-668-9700
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Fax | 716-668-9702
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMY RAPPOLD
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Credential | DDS
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Telephone | 716-668-9700
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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 | 051753
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License Number State | NY
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