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General NPI Number Information
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NPI Number | 1649218876
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Entity Type | Individual
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Provider Name | STEVEN J KIVI MD
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 301 MAIN ST E SUITE 1
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City | NEW PRAGUE
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State | MN
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Zip | 56071-1803
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Country | US
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Telephone | 952-758-1050
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Fax | 952-758-5011
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Provider Business Mailing Address
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Address Line | 301 2ND ST NE SUITE 1
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City | NEW PRAGUE
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State | MN
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Zip | 56071-1709
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Country | US
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Telephone | 952-758-4431
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Fax | 952-758-4431
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 37019
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License Number State | MN
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