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General NPI Number Information
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NPI Number | 1871716985
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Entity Type | Individual
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Provider Name | ZANE V KEMP DDS
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Gender | Male
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 702 EUREKA ST STE A
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City | WEATHERFORD
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State | TX
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Zip | 76086-6519
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Country | US
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Telephone | 817-596-7782
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Fax | 817-594-5191
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Provider Business Mailing Address
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Address Line | PO BOX 968
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City | WEATHERFORD
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State | TX
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Zip | 76086-0968
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Country | US
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Telephone | 817-596-7782
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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 | 21271
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License Number State | TX
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