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NPI 1891110789

NPI 1891110789 : KAPADIA DENTAL CARE : WATERFORD, MI

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General NPI Number Information
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    NPI Number           |    1891110789
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    Entity Type          |    Organization 
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    Legal Business Name  |    KAPADIA DENTAL CARE 
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Dates
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    Enumeration Date     |    02/28/2014
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    Last Update Date     |    02/28/2014
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Provider Practice Location Address
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    Address Line         |    4295 ROSEBERRY CT 
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    City                 |    WATERFORD
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    State                |    MI
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    Zip                  |    48329-4140
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    Country              |    US
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    Telephone            |    248-673-8515
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    Fax                  |    248-673-8843
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Provider Business Mailing Address
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    Address Line         |    4295 ROSEBERRY CT 
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    City                 |    WATERFORD
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    State                |    MI
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    Zip                  |    48329-4140
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    Country              |    US
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    Telephone            |    248-673-8515
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    Fax                  |    248-673-8843
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Authorized Official
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    Title or Position    |    DOCTOR/OWNER
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    Name                 |    DR. HUZEFA F KAPADIA 
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    Credential           |    D.D.S
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    Telephone            |    248-673-8515
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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       |    18481
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    License Number State |    MI
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