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General NPI Number Information
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NPI Number | 1497787220
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Entity Type | Individual
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Provider Name | CHRISTOPHER T. KIRKUP DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 12036 N MICHIGAN RD STE 200
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City | ZIONSVILLE
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State | IN
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Zip | 46077-8782
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Country | US
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Telephone | 317-733-0926
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Fax | 317-733-0950
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Provider Business Mailing Address
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Address Line | 10972 ALLISONVILLE RD SUITE 110
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City | FISHERS
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State | IN
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Zip | 46038-2637
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Country | US
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Telephone | 317-913-2363
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Fax | 317-913-2360
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 12010847A
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License Number State | IN
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