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General NPI Number Information
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NPI Number | 1326595935
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Entity Type | Organization
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Legal Business Name | CAROLA KIEVE, MD
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 1600 LENA ST C1
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City | SANTA FE
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State | NM
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Zip | 87505-4339
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Country | US
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Telephone | 505-660-4093
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 550
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City | SANTA FE
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State | NM
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Zip | 87501-9901
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROLA KIEVE
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Credential | MD
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Telephone | 505-344-1479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD2004-0598
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License Number State | NM
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