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General NPI Number Information
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NPI Number | 1962928069
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Entity Type | Organization
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Legal Business Name | DENAE M. KIRKPATRICK, D.D.S., P.C.
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2408 PALMER CIR
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City | NORMAN
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State | OK
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Zip | 73069-6301
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Country | US
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Telephone | 405-209-7013
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Fax |
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Provider Business Mailing Address
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Address Line | 2408 PALMER CIR
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City | NORMAN
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State | OK
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Zip | 73069-6301
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Country | US
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Telephone | 405-209-7013
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. DENAE KIRKPATRICK
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Credential | DDS
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Telephone | 405-209-7013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 5486
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License Number State | OK
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