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General NPI Number Information
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NPI Number | 1437357068
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Entity Type | Individual
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Provider Name | DAVID HARVEY KINSMAN SR. M.A.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3351 36TH ST SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49512-2809
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Country | US
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Telephone | 616-831-5655
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Fax |
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Provider Business Mailing Address
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Address Line | 3055 NEW HOLLAND ST
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City | HUDSONVILLE
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State | MI
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Zip | 49426-9413
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Country | US
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Telephone | 616-460-5593
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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 | 010288
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License Number State | MI
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