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General NPI Number Information
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NPI Number | 1952748584
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Entity Type | Organization
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Legal Business Name | VOLOSHYN & KINGSBURY DMD PLLC
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Dates
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Enumeration Date | 05/22/2013
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 6655 E WILKINSON BLVD
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City | BELMONT
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State | NC
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Zip | 28012-4706
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Country | US
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Telephone | 704-825-2808
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Fax |
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Provider Business Mailing Address
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Address Line | 6655 E WILKINSON BLVD
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City | BELMONT
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State | NC
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Zip | 28012-4706
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Country | US
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Telephone | 704-825-2808
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. IHOR VOLOSHYN
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Credential | D.M.D.
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Telephone | 704-825-2808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 9045
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License Number State | NC
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