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General NPI Number Information
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NPI Number | 1689033029
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Entity Type | Individual
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Provider Name | KIRKLAND KENNEDY MAPLES DMD
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Gender | Male
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Dates
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Enumeration Date | 02/13/2016
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 9109 BAYMEADOWS RD STE 1
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City | JACKSONVILLE
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State | FL
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Zip | 32256-1842
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Country | US
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Telephone | 904-731-4343
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Fax |
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Provider Business Mailing Address
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Address Line | 9109 BAYMEADOWS RD STE 1
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City | JACKSONVILLE
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State | FL
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Zip | 32256-1842
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Country | US
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Telephone | 904-731-4343
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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 | 10386
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 26892
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License Number State | FL
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