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General NPI Number Information
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NPI Number | 1598712374
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Entity Type | Organization
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Legal Business Name | CHRISTIAN V. KIVI M.D.
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 457 3RD ST
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City | NIAGARA FALLS
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State | NY
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Zip | 14301-1505
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Country | US
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Telephone | 716-285-3668
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Fax | 716-285-4861
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Provider Business Mailing Address
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Address Line | 457 3RD ST
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City | NIAGARA FALLS
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State | NY
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Zip | 14301-1505
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Country | US
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Telephone | 716-285-3668
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Fax | 716-285-4861
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Authorized Official
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Title or Position | M.D.
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Name | CHRISTIAN V KIVI
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Credential | M.D.
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Telephone | 716-285-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 122994
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License Number State | NY
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