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General NPI Number Information
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NPI Number | 1720482417
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Entity Type | Organization
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Legal Business Name | TIMOTHY A. KERPER, D.M.D., P.C.
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Dates
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Enumeration Date | 10/09/2014
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 626A LEIGHTON AVE
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City | ANNISTON
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State | AL
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Zip | 36207-5744
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Country | US
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Telephone | 256-237-8174
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Fax | 256-237-8805
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Provider Business Mailing Address
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Address Line | 626A LEIGHTON AVE
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City | ANNISTON
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State | AL
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Zip | 36207-5744
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Country | US
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Telephone | 256-237-8174
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Fax | 256-237-8805
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Authorized Official
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Title or Position | OWNER / ENDODONTIST
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Name | DR. TIMOTHY A KERPER
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Credential | D.M.D.
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Telephone | 256-237-8174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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