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General NPI Number Information
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NPI Number | 1720116973
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Entity Type | Individual
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Provider Name | JOHN KINDOLL NEWCOMB D.M.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 224 LANGDON ST
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City | SOMERSET
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State | KY
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Zip | 42501-2342
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Country | US
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Telephone | 606-528-8302
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Fax | 606-528-6899
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Provider Business Mailing Address
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Address Line | 224 LANGDON ST
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City | SOMERSET
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State | KY
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Zip | 42501-2342
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Country | US
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Telephone | 606-528-8302
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Fax | 606-528-6899
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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 | 8208
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 8208-800
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License Number State | KY
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