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General NPI Number Information
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NPI Number | 1497785356
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Entity Type | Individual
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Provider Name | KENNETH S HELMER MD
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 612 S FLEISHEL AVE
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City | TYLER
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State | TX
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Zip | 75701-2012
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Country | US
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Telephone | 903-531-5560
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5500
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City | TYLER
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State | TX
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Zip | 75712-5500
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Country | US
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Telephone | 903-324-6400
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | L1882
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License Number State | TX
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