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General NPI Number Information
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NPI Number | 1740453034
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Entity Type | Organization
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Legal Business Name | DENTISTRY UNLIMITED P C
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 2310 WHITESBURG DR S 2
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3845
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Country | US
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Telephone | 256-536-8561
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Fax | 256-536-8563
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Provider Business Mailing Address
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Address Line | 2310 WHITESBURG DR S 2
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3845
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Country | US
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Telephone | 256-536-8561
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Fax | 256-536-8563
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. BRENDA J KIRKENDALL
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Credential | D.D.S.
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Telephone | 256-536-8561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4441
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License Number State | AL
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