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General NPI Number Information
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NPI Number | 1427136472
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Entity Type | Organization
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Legal Business Name | JOANNE KINGSLEY MD PLLC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 1931 HORTON RD SUITE 8
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City | JACKSON
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State | MI
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Zip | 49203-5594
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Country | US
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Telephone | 517-782-7510
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Fax | 517-782-7520
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Provider Business Mailing Address
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Address Line | 1931 HORTON RD SUITE 8
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City | JACKSON
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State | MI
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Zip | 49203-5594
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Country | US
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Telephone | 517-782-7510
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Fax | 517-782-7520
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | JOANNE RUTH KINGSLEY
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Credential | M.D.
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Telephone | 517-796-4775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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