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General NPI Number Information
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NPI Number | 1326591256
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Entity Type | Organization
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Legal Business Name | KENDALL A MITCHELL DDS PLLC
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 400 GLENWOOD AVE
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City | KINSTON
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State | NC
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Zip | 28501-3870
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Country | US
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Telephone | 252-523-4927
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Fax |
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Provider Business Mailing Address
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Address Line | 400 GLENWOOD AVE
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City | KINSTON
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State | NC
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Zip | 28501-3870
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Country | US
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Telephone | 252-523-4927
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. KENDALL A MITCHELL
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Credential |
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Telephone | 252-523-4927
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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 | 9769
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License Number State | NC
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