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General NPI Number Information
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NPI Number | 1285204305
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Entity Type | Individual
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Provider Name | KILIAN MICHAEL STINGLE DMD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 65 W MITCHELL HAMMOCK RD STE 1511
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City | OVIEDO
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State | FL
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Zip | 32765-6969
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Country | US
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Telephone | 407-604-0399
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Fax |
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Provider Business Mailing Address
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Address Line | 14350 HAMPSHIRE BAY CIR
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City | WINTER GARDEN
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State | FL
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Zip | 34787-5905
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Country | US
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Telephone | 407-529-5215
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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 | DN26118
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License Number State | FL
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