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General NPI Number Information
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NPI Number | 1679586382
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Entity Type | Individual
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Provider Name | KENDALL LEWIS JONES D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 08/17/2009
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Provider Practice Location Address
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Address Line | 1010 KENNEDY DR SUITE #307
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City | KEY WEST
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State | FL
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Zip | 33040-4134
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Country | US
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Telephone | 305-292-6422
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 S ROOSEVELT BLVD UNIT #404S
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City | KEY WEST
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State | FL
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Zip | 33040-5248
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Country | US
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Telephone | 919-619-6700
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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 | 8229
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License Number State | NC
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