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General NPI Number Information
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NPI Number | 1003135799
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Entity Type | Organization
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Legal Business Name | STEVEN A KIND M.D., MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/20/2010
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Last Update Date | 05/20/2010
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Provider Practice Location Address
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Address Line | 2230 LYNN RD 330
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1901
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Country | US
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Telephone | 805-373-0177
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Fax | 805-373-5527
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Provider Business Mailing Address
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Address Line | 2230 LYNN RD 330
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1901
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Country | US
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Telephone | 805-373-0177
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Fax | 805-373-5527
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN A KIND
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Credential | MEDICAL DOCTOR
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Telephone | 805-373-0177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G65029
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License Number State | CA
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