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General NPI Number Information
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NPI Number | 1467431007
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Entity Type | Individual
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Provider Name | PHILIP HERBERT ZINK II D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 219 S PROCTOR KNOTT AVE
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City | LEBANON
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State | KY
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Zip | 40033-1219
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Country | US
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Telephone | 270-692-4339
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 SAINT ROSE RD
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City | LEBANON
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State | KY
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Zip | 40033-9133
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Country | US
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Telephone | 270-699-9699
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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 | 7848
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License Number State | KY
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