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NPI 1427150416

NPI 1427150416 : A. LLOYD KITCHIN D.M.D. : SUCCASUNNA, NJ

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General NPI Number Information
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    NPI Number           |    1427150416
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    Entity Type          |    Individual 
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    Provider Name        |    A. LLOYD KITCHIN D.M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/01/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    40 MAIN ST 
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    City                 |    SUCCASUNNA
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    State                |    NJ
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    Zip                  |    07876-1733
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    Country              |    US
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    Telephone            |    973-584-2533
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    Fax                  |    973-584-4363
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Provider Business Mailing Address
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    Address Line         |    40 MAIN ST 
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    City                 |    SUCCASUNNA
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    State                |    NJ
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    Zip                  |    07876-1733
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    Country              |    US
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    Telephone            |    973-584-2533
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    Fax                  |    973-584-4363
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    13842
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    License Number State |    NJ
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