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General NPI Number Information
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NPI Number | 1124336532
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Entity Type | Organization
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Legal Business Name | KIGHT'S MEDICAL CORP
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Dates
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Enumeration Date | 09/20/2010
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 901 PORT CENTRE PKWY SUITE 8
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City | PORTSMOUTH
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State | VA
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Zip | 23704-6761
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Country | US
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Telephone | 757-392-3670
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Fax |
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Provider Business Mailing Address
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Address Line | 201 KITTY HAWK DR STE 95
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City | MORRISVILLE
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State | NC
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Zip | 27560-7659
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Country | US
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Telephone | 919-878-6666
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Fax | 919-878-4411
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHN A KIGHT
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Credential | RPH
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Telephone | 919-878-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 37948
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License Number State | VA
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