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General NPI Number Information
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NPI Number | 1609430966
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Entity Type | Individual
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Provider Name | KYLE CHRISTOPHER KILINSKI MD
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Gender | Male
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 1405 CENTERVILLE RD STE 5400
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4654
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Country | US
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Telephone | 850-877-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 CENTERVILLE RD STE 5400
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4654
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Country | US
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Telephone | 850-877-0101
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME167495
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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