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General NPI Number Information
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NPI Number | 1568615334
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Entity Type | Organization
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Legal Business Name | HIGH PLAINS EAR NOSE & THROAT ASSOCIATES PLLC
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Dates
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Enumeration Date | 10/24/2008
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Last Update Date | 10/24/2008
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Provider Practice Location Address
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Address Line | 5211 W 9TH AVE #104
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City | AMARILLO
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State | TX
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Zip | 79106-4120
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Country | US
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Telephone | 806-355-8293
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Fax | 806-355-7298
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Provider Business Mailing Address
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Address Line | 5211 W 9TH AVE #104
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City | AMARILLO
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State | TX
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Zip | 79106-4120
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Country | US
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Telephone | 806-355-8293
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Fax | 806-355-7298
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. KYLE LEE KENNEDY
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Credential | MD
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Telephone | 806-355-8293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K0325
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License Number State | TX
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