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NPI 1427877349

NPI 1427877349 : WILLIAM KINSEY : NOBLESVILLE, IN

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General NPI Number Information
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    NPI Number           |    1427877349
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM KINSEY
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/08/2024
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    Last Update Date     |    10/11/2024
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Provider Practice Location Address
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    Address Line         |    1625 FIELD DR 
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    City                 |    NOBLESVILLE
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    State                |    IN
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    Zip                  |    46060-1742
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    Country              |    US
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    Telephone            |    317-773-0782
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1811 CONNER ST 
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    City                 |    NOBLESVILLE
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    State                |    IN
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    Zip                  |    46060-3013
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    Country              |    US
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    Telephone            |    317-437-6491
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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        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    14725282
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    License Number State |    IN
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