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General NPI Number Information
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NPI Number | 1598805236
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Entity Type | Individual
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Provider Name | ROBERT DAVID KAHL PHD
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Gender | Male
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 23 STONE ST
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City | AUGUSTA
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State | ME
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Zip | 04330-5222
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Country | US
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Telephone | 207-622-3300
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Fax | 207-623-4312
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Provider Business Mailing Address
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Address Line | 63 S SHORE DR
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City | MONMOUTH
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State | ME
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Zip | 04259-7224
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Country | US
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Telephone | 207-933-5221
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2879
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS918
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License Number State | ME
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