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General NPI Number Information
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NPI Number | 1801533120
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Entity Type | Organization
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Legal Business Name | WILKESBORO AMY KINLAW PLLC
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 200 W PARK CIR STE C
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659-3583
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Country | US
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Telephone | 336-568-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 200 W PARK CIR STE C
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659-3583
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Country | US
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Telephone | 336-568-7700
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | AMY ANN KINLAW
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Credential | DMD
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Telephone | 336-568-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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