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General NPI Number Information
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NPI Number | 1477759199
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Entity Type | Organization
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Legal Business Name | KIM TURNER, DMD, PA
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 189 NORTHPORT AVE
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City | BELFAST
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State | ME
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Zip | 04915-6004
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Country | US
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Telephone | 207-338-5551
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Fax | 207-338-0097
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Provider Business Mailing Address
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Address Line | 189 NORTHPORT AVE
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City | BELFAST
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State | ME
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Zip | 04915-6004
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Country | US
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Telephone | 207-338-5551
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Fax | 207-338-0097
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Authorized Official
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Title or Position | OWNER
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Name | DR. KIM TURNER
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Credential | DMD
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Telephone | 207-338-5551
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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 | 3302
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License Number State | ME
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