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General NPI Number Information
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NPI Number | 1568564284
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Entity Type | Individual
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Provider Name | WENDY A KISSINGER DO
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Gender | Female
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 2500 METROHEALTH DR MHMC-LIFE FLIGHT
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City | CLEVELAND
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State | OH
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Zip | 44109-1900
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Country | US
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Telephone | 216-778-3090
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 METROHEALTH DR MHMC-LIFE FLIGHT
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City | CLEVELAND
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State | OH
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Zip | 44109-1900
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Country | US
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Telephone | 216-778-3090
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 006106
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | Q1648
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS16358
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | O-1306
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License Number State | ID
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | O-1306
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License Number State | MH
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DR.0052122
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DO1730
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License Number State | NV
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Taxonomy #8
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34007739
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License Number State | OH
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