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General NPI Number Information
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NPI Number | 1598760100
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Entity Type | Individual
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Provider Name | STUART KITTON DPM
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Gender | Male
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 07/27/2012
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Provider Practice Location Address
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Address Line | 601B W 138 ST GROUND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10031-7400
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Country | US
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Telephone | 212-844-9490
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Fax | 212-368-1513
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Provider Business Mailing Address
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Address Line | 41 WOODS DR
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City | ROSLYN
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State | NY
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Zip | 11576-2613
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Country | US
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Telephone | 516-626-3999
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Fax | 212-368-1513
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N002750
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 25MD001092
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License Number State | NJ
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