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NPI 1619918174

NPI 1619918174 : DALE L KILE JR. MD : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1619918174
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    Entity Type          |    Individual 
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    Provider Name        |    DALE L KILE JR. MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/08/2006
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    Last Update Date     |    10/19/2016
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Provider Practice Location Address
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    Address Line         |    3441 DICKERSON PIKE 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37207-2539
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    Country              |    US
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    Telephone            |    615-769-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3114 CROASDAILE DR SUITE 200
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    City                 |    DURHAM
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    State                |    NC
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    Zip                  |    27705-2508
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    Country              |    US
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    Telephone            |    919-425-1565
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    Fax                  |    919-425-0478
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    25482
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    35037365
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    License Number State |    OH
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