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General NPI Number Information
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NPI Number | 1407068257
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Entity Type | Individual
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Provider Name | ROBERT NEIL KITTLE SR. M.A.,M.DIV.,L.C.P.C.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 16 GREENMEADOW DR SUITE 106
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City | TIMONIUM
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State | MD
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Zip | 21093-3200
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Country | US
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Telephone | 410-561-9584
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Fax |
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Provider Business Mailing Address
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Address Line | 3919 KLAUSMIER RD
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City | NOTTINGHAM
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State | MD
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Zip | 21236-1418
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Country | US
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Telephone | 410-529-9335
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0534
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License Number State | MD
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