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General NPI Number Information
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NPI Number | 1891222642
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Entity Type | Organization
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Legal Business Name | KENDRA J. ZAPPIA, DDS, LLC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 3 PINE WEST PLZ SUITE 306
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City | ALBANY
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State | NY
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Zip | 12205-5519
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Country | US
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Telephone | 518-869-1138
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Fax | 518-869-5679
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Provider Business Mailing Address
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Address Line | 3 PINE WEST PLZ SUITE 306
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City | ALBANY
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State | NY
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Zip | 12205-5519
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Country | US
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Telephone | 518-869-1138
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Fax | 518-869-5679
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. KENDRA J ZAPPIA
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Credential | DDS
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Telephone | 518-869-1138
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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 | 052786
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License Number State | NY
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