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NPI 1356456073

NPI 1356456073 : KEVIN J HESTER DDS : BATON ROUGE, LA

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General NPI Number Information
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    NPI Number           |    1356456073
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    Entity Type          |    Individual 
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    Provider Name        |    KEVIN J HESTER DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/20/2006
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    2576 TOULON DRIVE SUITE 1
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70816
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    Country              |    US
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    Telephone            |    225-292-8270
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    Fax                  |    225-291-8271
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Provider Business Mailing Address
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    Address Line         |    2576 TOULON DRIVE SUITE 1
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70816
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    Country              |    US
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    Telephone            |    225-292-8270
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    Fax                  |    225-291-8271
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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       |    3970
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    License Number State |    LA
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