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General NPI Number Information
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NPI Number | 1275840381
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Entity Type | Organization
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Legal Business Name | JANET R N KAIL DPM
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 03/22/2011
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Provider Practice Location Address
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Address Line | 402 W MAIN ST
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City | FAIRBORN
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State | OH
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Zip | 45324-4817
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Country | US
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Telephone | 937-878-2800
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Fax | 937-878-7261
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Provider Business Mailing Address
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Address Line | 402 W MAIN ST
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City | FAIRBORN
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State | OH
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Zip | 45324-4817
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Country | US
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Telephone | 937-878-2800
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Fax | 937-878-7261
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Authorized Official
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Title or Position | OWNER
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Name | JANET RN KAIL
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Credential | DPM
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Telephone | 937-878-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 360002830
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License Number State | OH
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