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General NPI Number Information
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NPI Number | 1780877969
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Entity Type | Individual
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Provider Name | KENNETH DOYNE DILL MD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 177 SAWTOOTH OAK ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901-7160
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Country | US
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Telephone | 501-520-6250
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Fax | 501-520-6291
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Provider Business Mailing Address
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Address Line | 177 SAWTOOTH OAK ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901-7160
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Country | US
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Telephone | 501-520-6250
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Fax | 15-206-2915
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-5245
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License Number State | AR
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