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General NPI Number Information
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NPI Number | 1366659658
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Entity Type | Individual
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Provider Name | KRISTIN KAY MCNAMARA D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 300 MARCONI BLVD STE 308
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City | COLUMBUS
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State | OH
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Zip | 43215-2329
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Country | US
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Telephone | 503-906-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 1195 WILLARD AVE
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City | COLUMBUS
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State | OH
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Zip | 43212-3570
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901018436
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 2536
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 30.023131
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License Number State | OH
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