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General NPI Number Information
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NPI Number | 1316207475
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Entity Type | Individual
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Provider Name | KEVIN RUSSELL DUNIVEN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 10/12/2015
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Provider Practice Location Address
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Address Line | 11426 GRAVOIS RD SUITE 202
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City | SAINT LOUIS
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State | MO
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Zip | 63126-3656
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Country | US
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Telephone | 314-962-1574
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Fax | 314-962-8585
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Provider Business Mailing Address
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Address Line | 11426 GRAVOIS RD SUITE 202
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City | SAINT LOUIS
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State | MO
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Zip | 63126-3656
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Country | US
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Telephone | 314-962-1574
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Fax | 314-962-8585
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2012015445
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License Number State | MO
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