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General NPI Number Information
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NPI Number | 1285707133
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Entity Type | Organization
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Legal Business Name | DONALD S KITAIN DO PC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 9640 COMMERCE RD SUITE 106
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City | COMMERCE TWP
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State | MI
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Zip | 48382-4489
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Country | US
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Telephone | 248-360-8825
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Fax | 248-360-8897
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Provider Business Mailing Address
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Address Line | 9640 COMMERCE RD SUITE 106
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City | COMMERCE TWP
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State | MI
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Zip | 48382-4111
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Country | US
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Telephone | 248-360-8825
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Fax | 248-360-8897
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Authorized Official
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Title or Position | PC
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Name | DONALD S KITAIN
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Credential | DO
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Telephone | 248-360-8825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | DK008753
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License Number State | MI
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