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General NPI Number Information
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NPI Number | 1902217011
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Entity Type | Organization
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Legal Business Name | KADI DENTAL
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Dates
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Enumeration Date | 05/12/2014
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Last Update Date | 06/02/2016
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Provider Practice Location Address
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Address Line | 20 E 46TH ST #1300
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City | NEW YORK
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State | NY
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Zip | 10017-2417
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Country | US
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Telephone | 917-859-6904
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Fax |
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Provider Business Mailing Address
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Address Line | 10230 QUEENS BLVD APT. 4K
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City | FOREST HILLS
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State | NY
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Zip | 11375-3163
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DAVID KRONER
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Credential | DDS
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Telephone | 917-859-6904
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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 | 056910
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License Number State | NY
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