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General NPI Number Information
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NPI Number | 1922451822
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Entity Type | Individual
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Provider Name | EMILY KYMER-CHEEK D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2016
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Last Update Date | 07/11/2018
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Provider Practice Location Address
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Address Line | 401 S BOWMAN RD
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City | LITTLE ROCK
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State | AR
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Zip | 72211
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Country | US
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Telephone | 501-224-4799
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Fax |
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Provider Business Mailing Address
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Address Line | 401 S BOWMAN RD
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City | LITTLE ROCK
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State | AR
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Zip | 72211-3452
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Country | US
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Telephone | 501-224-4799
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0442000268
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 4251
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License Number State | AR
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