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General NPI Number Information
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NPI Number | 1598897217
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Entity Type | Organization
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Legal Business Name | G. KIRK SOILEAU, DDS
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 113 CALCASIEU ST
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City | VILLE PLATTE
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State | LA
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Zip | 70586-4401
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Country | US
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Telephone | 337-363-2514
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Fax | 337-363-2486
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Provider Business Mailing Address
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Address Line | PO BOX 87
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City | VILLE PLATTE
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State | LA
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Zip | 70586-0087
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Country | US
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Telephone | 337-363-2514
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Fax | 337-363-2486
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGORY KIRK SOILEAU
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Credential | DDD
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Telephone | 337-363-2514
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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 |
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License Number State |
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