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General NPI Number Information
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NPI Number | 1174728133
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Entity Type | Organization
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Legal Business Name | DEBORAH P. KILGORE, D.D.S.,P.L.L.C.
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 1312 COMMERCE DR
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City | NEW BERN
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State | NC
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Zip | 28562-2212
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Country | US
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Telephone | 252-637-1919
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Fax | 252-637-3317
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Provider Business Mailing Address
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Address Line | 1312 COMMERCE DR
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City | NEW BERN
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State | NC
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Zip | 28562-2212
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Country | US
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Telephone | 252-637-1919
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Fax | 252-637-3317
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DEBORAH P KILGORE
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Credential | DDS
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Telephone | 252-637-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 6255
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License Number State | NC
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