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General NPI Number Information
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NPI Number | 1245319243
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Entity Type | Organization
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Legal Business Name | ANTHONY KIRINDONGO MD CORP
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3175 S CONGRESS AVE SUITE 105
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City | PALM SPRINGS
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State | FL
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Zip | 33461-2562
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Country | US
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Telephone | 561-963-3637
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Fax | 561-963-3638
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Provider Business Mailing Address
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Address Line | 3175 S CONGRESS AVE SUITE 105
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City | PALM SPRINGS
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State | FL
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Zip | 33461-2562
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Country | US
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Telephone | 561-963-3637
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Fax | 561-963-3638
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY KIRINDONGO
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Credential | MD
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Telephone | 561-963-3637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME67264
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License Number State | FL
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