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General NPI Number Information
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NPI Number | 1245550144
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Entity Type | Individual
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Provider Name | EMILY I KENNY MD
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Gender | Female
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 71 US ROUTE 1 STE A
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7168
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Country | US
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Telephone | 207-885-8400
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Fax | 207-885-8499
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Provider Business Mailing Address
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Address Line | 71 US ROUTE 1 STE A
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7168
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Country | US
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Telephone | 207-885-8400
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Fax | 207-885-8499
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301105931
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License Number State | MI
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