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General NPI Number Information
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NPI Number | 1164710331
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Entity Type | Organization
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Legal Business Name | KURT M. HOLMES DDS PC
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 07/21/2011
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Provider Practice Location Address
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Address Line | 3285 HACKS CROSS RD SUITE 103 & 104
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City | MEMPHIS
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State | TN
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Zip | 38125-8918
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Country | US
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Telephone | 901-619-0347
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Fax |
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Provider Business Mailing Address
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Address Line | 3285 HACKS CROSS RD SUITE 103 & 104
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City | MEMPHIS
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State | TN
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Zip | 38125-8918
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Country | US
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Telephone | 901-619-0347
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. KURT MONEX HOLMES
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Credential | DDS
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Telephone | 901-619-0347
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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 | DS0000007908
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License Number State | TN
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