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General NPI Number Information
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NPI Number | 1558635722
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Entity Type | Organization
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Legal Business Name | DR. DONALD KINSLEY & ASSOCIATE
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 4450 BELDEN VILLAGE ST NW
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City | CANTON
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State | OH
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Zip | 44718-2552
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Country | US
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Telephone | 330-493-0076
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Fax |
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Provider Business Mailing Address
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Address Line | 1740 WINONA ST
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City | ALLIANCE
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State | OH
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Zip | 44601-4570
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Country | US
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Telephone | 330-606-6119
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONALD KINSLEY
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Credential | PH. D
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Telephone | 330-493-0076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1045
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License Number State | OH
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