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General NPI Number Information
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NPI Number | 1962393850
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Entity Type | Organization
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Legal Business Name | DR. J KEITH CONNELL, DMD
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1610 EDISON AVE
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City | MUSCLE SHOALS
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State | AL
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Zip | 35661-2530
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Country | US
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Telephone | 256-383-5770
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Fax |
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Provider Business Mailing Address
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Address Line | 1610 EDISON AVE
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City | MUSCLE SHOALS
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State | AL
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Zip | 35661-2530
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Country | US
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Telephone | 256-383-5770
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Fax |
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Authorized Official
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Title or Position | DENTIST/ASSOCIATE
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Name | DR. NOLIN CONNELL
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Credential | DMD
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Telephone | 256-627-5659
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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 |
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License Number State |
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