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General NPI Number Information
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NPI Number | 1225914914
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Entity Type | Individual
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Provider Name | KELSEY MIKALA AKIN DMD
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Gender | Female
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 24 SALT POND RD STE D1
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City | WAKEFIELD
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State | RI
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Zip | 02879-4334
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Country | US
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Telephone | 140-178-3153
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Fax |
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Provider Business Mailing Address
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Address Line | 9013 COUNTY ROAD 200
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City | ALVIN
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State | TX
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Zip | 77511-1001
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Country | US
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Telephone | 281-770-4214
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN03820
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License Number State | RI
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