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General NPI Number Information
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NPI Number | 1104871391
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Entity Type | Individual
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Provider Name | DONALD ROBERTSON KUHL APA-C
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 6213 AVIATION AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32221-8113
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Country | US
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Telephone | 904-594-6864
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Fax | 904-594-6836
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Provider Business Mailing Address
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Address Line | 203 COKESBURY CT
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City | GREEN COVE SPRINGS
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State | FL
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Zip | 32043-9519
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Country | US
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Telephone | 808-753-4237
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Fax | 904-594-6836
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 5095
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License Number State | AZ
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