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General NPI Number Information
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NPI Number | 1942515432
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Entity Type | Individual
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Provider Name | MONTREL A KING DDS
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Gender | Male
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 11/24/2020
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Provider Practice Location Address
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Address Line | 7847 PARALLEL PKWY
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City | KANSAS CITY
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State | KS
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Zip | 66112-2036
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Country | US
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Telephone | 913-299-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 4510 NE 67TH TER
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City | KANSAS CITY
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State | MO
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Zip | 64119-7848
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Country | US
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Telephone | 816-225-5630
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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 | 60167
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License Number State | KS
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