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General NPI Number Information
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NPI Number | 1275243933
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Entity Type | Organization
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Legal Business Name | KEVIN S. HUELSMAN, DDS, LLC
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Dates
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Enumeration Date | 12/02/2022
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 862 PROPRIETORS RD STE A
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City | WORTHINGTON
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State | OH
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Zip | 43085-3331
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Country | US
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Telephone | 614-885-8785
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Fax | 614-825-6290
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Provider Business Mailing Address
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Address Line | 862 PROPRIETORS RD STE A
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City | WORTHINGTON
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State | OH
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Zip | 43085-3331
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Country | US
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Telephone | 614-885-8785
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Fax | 614-825-6290
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. KEVIN S. HUELSMAN
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Credential | DDS
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Telephone | 614-885-8785
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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 |
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License Number State |
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