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General NPI Number Information
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NPI Number | 1891557294
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Entity Type | Organization
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Legal Business Name | KINARD DMD INC.
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 801 S VICTORIA AVE STE 201
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City | VENTURA
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State | CA
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Zip | 93003-5371
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Country | US
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Telephone | 805-665-3925
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Fax | 805-665-3926
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Provider Business Mailing Address
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Address Line | 801 S VICTORIA AVE STE 201
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City | VENTURA
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State | CA
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Zip | 93003-5371
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Country | US
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Telephone | 805-665-3925
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Fax | 805-665-3926
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Authorized Official
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Title or Position | DENTIST
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Name | DR. BRYCE KINARD
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Credential | DMD
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Telephone | 805-665-3925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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