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General NPI Number Information
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NPI Number | 1528089752
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Entity Type | Individual
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Provider Name | RUDY J KINK MD
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Gender | Male
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 50 N DUNLAP ST
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City | MEMPHIS
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State | TN
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Zip | 38103-2800
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Country | US
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Telephone | 901-405-1407
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Fax |
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Provider Business Mailing Address
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Address Line | 376 WINDING WOLF PL
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City | MEMPHIS
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State | TN
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Zip | 38120-2907
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Country | US
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Telephone | 901-218-9065
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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 | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | 41151
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License Number State | TN
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