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General NPI Number Information
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NPI Number | 1366474918
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Entity Type | Individual
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Provider Name | DAVID L KEMP M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 775 POLE LINE RD W SUITE 112
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City | TWIN FALLS
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State | ID
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Zip | 83301-5814
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Country | US
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Telephone | 208-814-8200
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Fax | 208-933-4921
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Provider Business Mailing Address
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Address Line | PO BOX 587
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City | TWIN FALLS
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State | ID
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Zip | 83303-0587
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Country | US
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Telephone | 208-814-7400
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Fax | 208-814-7491
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | M5919
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD26730
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License Number State | ME
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