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General NPI Number Information
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NPI Number | 1861617664
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Entity Type | Individual
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Provider Name | KEVIN D FLINT DDS
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 282 HOSPITAL ROAD
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City | NEW ROADS
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State | LA
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Zip | 70760
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Country | US
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Telephone | 225-638-8252
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 320
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City | ETHEL
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State | LA
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Zip | 70730
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Country | US
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Telephone | 225-638-8119
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3541
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License Number State | LA
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