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General NPI Number Information
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NPI Number | 1912051202
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Entity Type | Individual
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Provider Name | WILLIAM KAPGAN DDS
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 5255 STILESBORO RD NW SUITE 130
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City | KENNESAW
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State | GA
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Zip | 30152-7737
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Country | US
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Telephone | 770-499-2152
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Fax | 770-499-9566
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Provider Business Mailing Address
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Address Line | 1410 TERRELL MILL RD
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City | MARIETTA
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State | GA
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Zip | 30067
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Country | US
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Telephone | 770-984-9000
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Fax | 770-984-9256
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN013274
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License Number State | GA
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