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General NPI Number Information
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NPI Number | 1912927724
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Entity Type | Individual
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Provider Name | KANI LOUISE NICOLLS DDS
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 167 E CHESTNUT ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-2339
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Country | US
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Telephone | 828-251-2426
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Fax | 828-251-2550
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Provider Business Mailing Address
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Address Line | 167 E CHESTNUT ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-2339
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Country | US
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Telephone | 828-251-2426
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Fax | 828-251-2550
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 5862
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 37146
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License Number State | CA
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