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General NPI Number Information
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NPI Number | 1922091016
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Entity Type | Individual
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Provider Name | KENT STUART AFTERGUT MD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 610 UPTOWN BLVD STE 610
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City | CEDAR HILL
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State | TX
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Zip | 75104-3528
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Country | US
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Telephone | 972-283-8979
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Fax | 469-532-0273
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Provider Business Mailing Address
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Address Line | 9900 N CENTRAL EXPY STE 500
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City | DALLAS
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State | TX
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Zip | 75231-0928
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Country | US
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Telephone | 214-987-3376
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Fax | 469-532-0273
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | L1788
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License Number State | TX
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