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General NPI Number Information
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NPI Number | 1669286241
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Entity Type | Individual
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Provider Name | GEORGIA KANITSCH PA
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 3375 BURNS RD STE 101
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4360
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Country | US
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Telephone | 561-622-3618
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Fax | 561-626-9822
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Provider Business Mailing Address
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Address Line | PO BOX 20800
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City | BELFAST
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State | ME
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Zip | 04915-4105
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Country | US
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Telephone | 884-027-2568
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Fax | 888-902-1099
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9120186
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License Number State | FL
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