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NPI 1386029106

NPI 1386029106 : KYLE DUNCAN D.M.D. : BURNSVILLE, NC

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General NPI Number Information
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    NPI Number           |    1386029106
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    Entity Type          |    Individual 
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    Provider Name        |    KYLE DUNCAN D.M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/22/2015
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    Last Update Date     |    07/22/2015
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Provider Practice Location Address
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    Address Line         |    534 EAST BYPASS 
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    City                 |    BURNSVILLE
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    State                |    NC
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    Zip                  |    28714
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    Country              |    US
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    Telephone            |    828-682-7581
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1315 JACKS CREEK RD APT 1 
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    City                 |    BURNSVILLE
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    State                |    NC
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    Zip                  |    28714-5185
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    Country              |    US
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    Telephone            |    828-682-7581
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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       |    10162
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    License Number State |    NC
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