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General NPI Number Information
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NPI Number | 1962902221
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Entity Type | Individual
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Provider Name | KELSEY LAUREN FLANAGAN DDS
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Gender | Female
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Dates
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Enumeration Date | 02/13/2018
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 65 DANBURY RD
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City | RIDGEFIELD
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State | CT
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Zip | 06877-4003
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Country | US
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Telephone | 203-438-8866
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Fax |
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Provider Business Mailing Address
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Address Line | 44 COOPER HILL RD
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City | RIDGEFIELD
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State | CT
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Zip | 06877-5904
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Country | US
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Telephone | 410-596-1349
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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 | 11869
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License Number State | CT
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