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General NPI Number Information
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NPI Number | 1992874804
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Entity Type | Organization
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Legal Business Name | RODGER S KAMPF DDS A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 216 CLEVELAND ST
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City | WOODLAND
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State | CA
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Zip | 95695-3105
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Country | US
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Telephone | 530-666-2441
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Fax | 530-666-2442
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Provider Business Mailing Address
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Address Line | 216 CLEVELAND ST
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City | WOODLAND
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State | CA
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Zip | 95695-3105
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Country | US
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Telephone | 530-666-2441
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Fax | 530-666-2442
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Authorized Official
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Title or Position | OWNER
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Name | DR. RODGER SADLER KAMPF
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Credential | DDS
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Telephone | 530-666-2441
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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 | 25405
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License Number State | CA
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