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General NPI Number Information
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NPI Number | 1992660070
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Entity Type | Individual
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Provider Name | HEND KISAIBAT BDS
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Gender | Female
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 10792 HARDIN VALLEY RD
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City | KNOXVILLE
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State | TN
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Zip | 37932-1407
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Country | US
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Telephone | 865-983-3570
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Fax |
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Provider Business Mailing Address
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Address Line | 1675 OLD CANTON RD
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City | MARIETTA
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State | GA
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Zip | 30062-2619
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Country | US
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Telephone | 404-667-3780
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 13019
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License Number State | TN
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