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General NPI Number Information
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NPI Number | 1508984626
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Entity Type | Individual
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Provider Name | ALAN SCOTT KELLNER D.M.D., DDS
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3650 FOREST HILL BLVD STE 3
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5662
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Country | US
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Telephone | 561-965-8888
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Fax | 561-965-8897
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Provider Business Mailing Address
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Address Line | 3650 FOREST HILL BLVD STE 3
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5662
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Country | US
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Telephone | 561-965-8888
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Fax | 561-965-8897
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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 | DN14054
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License Number State | FL
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