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General NPI Number Information
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NPI Number | 1306886635
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Entity Type | Individual
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Provider Name | CHARLES KILO MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 12/19/2019
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Provider Practice Location Address
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Address Line | 1495 PINE RIDGE RD STE 4
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City | NAPLES
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State | FL
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Zip | 34109-2113
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Country | US
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Telephone | 239-594-5456
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Fax | 239-592-5456
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Provider Business Mailing Address
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Address Line | 2675 WINKLER AVE FL 2
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City | FORT MYERS
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State | FL
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Zip | 33901-9342
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Country | US
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Telephone | 877-856-3774
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Fax | 239-599-2625
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME85812
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License Number State | FL
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