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General NPI Number Information
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NPI Number | 1447735725
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Entity Type | Organization
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Legal Business Name | CANDACE MOORE FLENER DMD LLC
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 10/02/2018
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Provider Practice Location Address
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Address Line | 865 S DIXIE HWY
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City | MUNFORDVILLE
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State | KY
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Zip | 42765-9203
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Country | US
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Telephone | 270-524-5580
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Fax |
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Provider Business Mailing Address
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Address Line | 865 S DIXIE HWY
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City | MUNFORDVILLE
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State | KY
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Zip | 42765-9203
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Country | US
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Telephone | 270-524-5580
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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. CANDACE MOORE FLENER
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Credential |
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Telephone | 859-621-9195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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