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General NPI Number Information
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NPI Number | 1558105742
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Entity Type | Individual
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Provider Name | KENDRA LAW DDS
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Gender | Female
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Dates
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Enumeration Date | 06/21/2024
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 4245 N COURTENAY PKWY
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-8198
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Country | US
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Telephone | 208-989-2370
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Fax |
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Provider Business Mailing Address
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Address Line | 3903 DEQUATTRO DR UNIT 5202
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City | ROCKLEDGE
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State | FL
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Zip | 32955-7513
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Country | US
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Telephone | 208-989-2370
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN30257
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14020430-9926
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License Number State | UT
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