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General NPI Number Information
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NPI Number | 1629091376
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Entity Type | Individual
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Provider Name | WILLIAM S KIBLER DMD
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 600 OLD TROLLEY RD SUITE A
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City | SUMMERVILLE
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State | SC
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Zip | 29464
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Country | US
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Telephone | 843-871-2971
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 CANDLEWOOD DR
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City | MT PLEASANT
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State | SC
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Zip | 29464-9764
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Country | US
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Telephone | 843-849-8736
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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 | 3872
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License Number State | SC
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