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General NPI Number Information
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NPI Number | 1962028753
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Entity Type | Individual
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Provider Name | KIMBERLEE SELL DMD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 06/17/2020
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Provider Practice Location Address
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Address Line | 5800 N I 35 STE 205
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City | DENTON
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State | TX
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Zip | 76207-1438
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Country | US
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Telephone | 940-312-5633
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Fax |
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Provider Business Mailing Address
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Address Line | 103 SCEPTRE DR
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City | ROCKWALL
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State | TX
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Zip | 75032-5720
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Country | US
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Telephone | 928-651-2961
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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 | 36164
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License Number State | TX
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