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General NPI Number Information
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NPI Number | 1245494764
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Entity Type | Individual
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Provider Name | STEPHEN A KISSLINGER PSYD, MDIV
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Gender | Male
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | DR STEPHEN A. KISSLINGER 2670 MILLS PARK DR
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City | ROCK HILL
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State | SC
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Zip | 29732
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Country | US
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Telephone | 803-366-4848
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Fax |
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Provider Business Mailing Address
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Address Line | STEPHEN KISSLINGER 105 STAFFORD DR
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City | YORK
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State | SC
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Zip | 29745
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Country | US
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Telephone | 803-246-0844
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1209
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License Number State | SC
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