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NPI 1730704693

NPI 1730704693 : NOLAN CHRISTIAN KEMP DDS : BESSEMER, AL

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General NPI Number Information
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    NPI Number           |    1730704693
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    Entity Type          |    Individual 
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    Provider Name        |    NOLAN CHRISTIAN KEMP DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/16/2020
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    Last Update Date     |    06/16/2020
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Provider Practice Location Address
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    Address Line         |    1700 6TH AVE N 
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    City                 |    BESSEMER
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    State                |    AL
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    Zip                  |    35020-4849
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    Country              |    US
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    Telephone            |    205-434-2031
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4730 COLONNADE PL APT 434 
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    City                 |    BIRMINGHAM
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    State                |    AL
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    Zip                  |    35243-2429
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    Country              |    US
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    Telephone            |    615-306-4569
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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