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General NPI Number Information
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NPI Number | 1245368984
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Entity Type | Organization
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Legal Business Name | DR. KATHERINE KING, DMD
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 110 N CENTRAL AVE
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City | SOMERSET
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State | KY
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Zip | 42501
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Country | US
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Telephone | 606-679-1402
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Fax | 606-679-3761
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Provider Business Mailing Address
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Address Line | PO BOX 73
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City | SOMERSET
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State | KY
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Zip | 42502
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Country | US
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Telephone | 606-679-1402
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Fax | 606-679-3761
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Authorized Official
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Title or Position | DENTIST-OWNER
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Name | DR. KATHERINE LEE KING
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Credential | DMD
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Telephone | 606-679-1402
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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 | 5444
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License Number State | KY
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