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General NPI Number Information
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NPI Number | 1639327398
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Entity Type | Organization
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Legal Business Name | STEVEN M. KENYON, DMD INC
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Dates
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Enumeration Date | 09/05/2008
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 2212 POST RD
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City | WARWICK
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State | RI
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Zip | 02886-1540
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Country | US
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Telephone | 401-739-3556
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Fax |
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Provider Business Mailing Address
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Address Line | 2212 POST RD
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City | WARWICK
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State | RI
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Zip | 02886-1540
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Country | US
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Telephone | 401-739-3556
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. STEVEN MICHAEL KENYON
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Credential | DMD
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Telephone | 401-739-3556
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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 | 02232
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License Number State | RI
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