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General NPI Number Information
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NPI Number | 1932269628
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Entity Type | Organization
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Legal Business Name | ALL ABOUT SMILES
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 10/05/2009
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Provider Practice Location Address
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Address Line | 3207 ARAPAHO DR
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City | ROGERS
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State | AR
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Zip | 72758-1363
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Country | US
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Telephone | 479-621-9700
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Fax | 479-621-6166
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Provider Business Mailing Address
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Address Line | 3207 ARAPAHO DRIVE
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City | ROGERS
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State | AR
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Zip | 72758
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Country | US
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Telephone | 479-621-9700
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Fax | 479-621-6166
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL A KRUPKA
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Credential | DDS
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Telephone | 479-621-9700
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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 | 3202
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License Number State | AR
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