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General NPI Number Information
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NPI Number | 1124317219
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Entity Type | Individual
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Provider Name | SAMUEL E KIRKENDALL M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/30/2011
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 1000 S COULTER ST STE 200
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City | AMARILLO
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State | TX
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Zip | 79106-1841
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Country | US
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Telephone | 806-212-6604
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Fax | 806-212-0355
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Provider Business Mailing Address
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Address Line | PO BOX 2533
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City | AMARILLO
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State | TX
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Zip | 79105-2533
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Country | US
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Telephone | 806-212-6965
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Fax | 806-212-6278
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | Q8533
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License Number State | TX
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