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General NPI Number Information
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NPI Number | 1891292322
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Entity Type | Organization
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Legal Business Name | WINFIELD DENTAL, LLC
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 107 COLLEGE ST
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City | WINFIELD
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State | KS
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Zip | 67156-2442
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Country | US
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Telephone | 620-221-9580
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Fax | 620-221-6075
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Provider Business Mailing Address
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Address Line | 107 COLLEGE ST
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City | WINFIELD
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State | KS
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Zip | 67156-2442
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Country | US
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Telephone | 620-221-9580
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Fax | 620-221-6075
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Authorized Official
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Title or Position | OWNER
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Name | ADAM BULLEIGH
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Credential |
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Telephone | 620-221-9580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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