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General NPI Number Information
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NPI Number | 1639469752
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Entity Type | Individual
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Provider Name | KENT J HOWELL DMD
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Gender | Male
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 06/13/2022
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Provider Practice Location Address
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Address Line | 1056 S VAL VISTA DR STE 103
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City | MESA
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State | AZ
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Zip | 85204-5667
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Country | US
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Telephone | 480-832-1375
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Fax |
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Provider Business Mailing Address
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Address Line | 1056 S VAL VISTA DR STE 103
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City | MESA
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State | AZ
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Zip | 85204-5667
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Country | US
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Telephone | 480-832-1375
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | D008247
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License Number State | AZ
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