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General NPI Number Information
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NPI Number | 1467768580
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Entity Type | Organization
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Legal Business Name | FRANK KENDRICK DMD PA
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Dates
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Enumeration Date | 08/26/2010
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Last Update Date | 08/26/2010
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Provider Practice Location Address
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Address Line | 8631 ARBOR CREEK DR STE D3
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City | CHARLOTTE
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State | NC
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Zip | 28269-0548
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Country | US
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Telephone | 704-875-9075
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Fax | 704-875-9055
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Provider Business Mailing Address
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Address Line | 8631 ARBOR CREEK DR STE D3
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City | CHARLOTTE
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State | NC
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Zip | 28269-0548
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Country | US
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Telephone | 704-875-9075
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Fax | 704-875-9055
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Authorized Official
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Title or Position | DENTIST & OWNER
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Name | DR. FRANK KENDRICK JR.
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Credential | DMD
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Telephone | 704-875-9075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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