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General NPI Number Information
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NPI Number | 1457446379
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Entity Type | Individual
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Provider Name | ROBERT W KITCHELL MD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 01/05/2016
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Provider Practice Location Address
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Address Line | 1124 COLUMBIA ST 620
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City | SEATTLE
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State | WA
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Zip | 98104-2026
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Country | US
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Telephone | 206-215-2550
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Fax | 206-215-2555
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Provider Business Mailing Address
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Address Line | 1124 COLUMBIA ST 620
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City | SEATTLE
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State | WA
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Zip | 98104-2026
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Country | US
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Telephone | 206-215-2550
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Fax | 206-215-2555
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD00023851
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License Number State | WA
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