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General NPI Number Information
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NPI Number | 1619595048
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Entity Type | Organization
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Legal Business Name | KINETIC COMFORT, PLLC
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 2172 W NINE MILE RD # 212
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City | PENSACOLA
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State | FL
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Zip | 32534-9413
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Country | US
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Telephone | 843-773-1846
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Fax |
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Provider Business Mailing Address
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Address Line | 2172 W NINE MILE RD # 212
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City | PENSACOLA
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State | FL
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Zip | 32534-9413
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Country | US
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Telephone | 843-773-1846
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES FITZGERALD NOEL
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Credential | DPM
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Telephone | 843-773-1846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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