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General NPI Number Information
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NPI Number | 1093919813
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Entity Type | Organization
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Legal Business Name | DR KIP RING
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7500 NW 5TH ST 108
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City | PLANTATION
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State | FL
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Zip | 33317-1612
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Country | US
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Telephone | 954-581-7540
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Fax | 954-581-7559
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Provider Business Mailing Address
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Address Line | 3522 DOVECOTE MEADOW LN
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City | DAVIE
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State | FL
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Zip | 33328-7303
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Country | US
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Telephone | 954-370-0485
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. CHRISTIAN DEREK RING
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Credential |
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Telephone | 954-581-7540
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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 | DN15229
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License Number State | FL
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