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General NPI Number Information
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NPI Number | 1093021362
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Entity Type | Individual
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Provider Name | KELCIE LOUISE BARNTS DDS
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Gender | Female
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 4514 COLE AVE STE 930
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City | DALLAS
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State | TX
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Zip | 75205-4183
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Country | US
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Telephone | 556-725-7288
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Fax | 214-666-5314
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Provider Business Mailing Address
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Address Line | 4514 COLE AVE STE 930
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City | DALLAS
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State | TX
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Zip | 75205-4183
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Country | US
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Telephone | 855-672-5728
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Fax | 214-666-5314
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 59612
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | DS043346
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 39880
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License Number State | TX
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