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General NPI Number Information
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NPI Number | 1225352149
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Entity Type | Organization
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Legal Business Name | KENNETH J. HELM
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Dates
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Enumeration Date | 03/22/2010
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Last Update Date | 03/22/2010
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Provider Practice Location Address
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Address Line | 6700 DARMSTADT RD
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City | EVANSVILLE
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State | IN
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Zip | 47710-4614
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Country | US
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Telephone | 812-867-2414
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Fax |
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Provider Business Mailing Address
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Address Line | 6700 DARMSTADT RD
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City | EVANSVILLE
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State | IN
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Zip | 47710-4614
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Country | US
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Telephone | 812-867-2414
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. KENNETH JOHN HELM
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Credential | DDS
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Telephone | 812-867-2414
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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 | 12011356A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12006300A
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License Number State | IN
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