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General NPI Number Information
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NPI Number | 1093060626
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Entity Type | Organization
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Legal Business Name | K. DARGAN FLOWERS, JR. D.M.D.
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 07/19/2012
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Provider Practice Location Address
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Address Line | 756 W CAROLINA AVE
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City | HARTSVILLE
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State | SC
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Zip | 29550-4412
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Country | US
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Telephone | 843-332-0623
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Fax | 843-917-0454
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Provider Business Mailing Address
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Address Line | PO BOX 759
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City | HARTSVILLE
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State | SC
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Zip | 29551-0759
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Country | US
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Telephone | 843-332-0623
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Fax | 843-917-0454
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. K. DARGAN FLOWERS JR.
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Credential | D.M.D.
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Telephone | 843-332-0623
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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 | 9387
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License Number State | SC
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