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General NPI Number Information
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NPI Number | 1902927742
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Entity Type | Organization
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Legal Business Name | BARRY KENT MACH, DDS PA
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 1861 BROWN BLVD STE 225
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City | ARLINGTON
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State | TX
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Zip | 76006-4697
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Country | US
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Telephone | 817-461-0999
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Fax | 817-801-3121
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Provider Business Mailing Address
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Address Line | 1861 BROWN BLVD STE 225
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City | ARLINGTON
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State | TX
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Zip | 76006-4697
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Country | US
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Telephone | 817-461-0999
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Fax | 817-801-3121
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARRY KENT MACH
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Credential | DDS
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Telephone | 817-461-0999
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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 | 16072
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License Number State | TX
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