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General NPI Number Information
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NPI Number | 1033178173
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Entity Type | Individual
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Provider Name | DENNIS C KING MD
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Gender | Male
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Dates
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Enumeration Date | 03/18/2006
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 4165 9TH ST SW SUITE 106
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City | VERO BEACH
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State | FL
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Zip | 32968-4878
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Country | US
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Telephone | 772-569-7706
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 36TH ST
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City | VERO BEACH
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State | FL
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Zip | 32960-4862
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Country | US
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Telephone | 772-567-4311
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Fax | 772-563-4723
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME110955
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License Number State | FL
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