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General NPI Number Information
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NPI Number | 1780993485
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Entity Type | Individual
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Provider Name | ANTHONY CHARLES KIGHT DDS
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Gender | Male
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 236 E HOSPITAL RD BLDG 322
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City | FORT EISENHOWER
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State | GA
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Zip | 30905-6011
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Country | US
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Telephone | 317-903-7092
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Fax |
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Provider Business Mailing Address
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Address Line | 263 EAST HOSPITAL ROAD, BUILDING 322
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City | FORT EISENHOWER
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State | GA
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Zip | 30905-5650
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Country | US
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Telephone | 317-903-7092
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 12011518A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 126900000X
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Taxonomy Name | Dental Laboratory Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 12011518A
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License Number State | IN
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