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General NPI Number Information
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NPI Number | 1053262790
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Entity Type | Organization
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Legal Business Name | KC MEDICAL SERVICES, PC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 1215 LIVINGSTON AVE STE 6A
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-3840
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Country | US
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Telephone | 732-917-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 191 N WACKER DR STE 1800
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City | CHICAGO
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State | IL
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Zip | 60606-1631
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTEN ANGELA MIRANDA
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Credential | MD
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Telephone | 732-917-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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