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General NPI Number Information
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NPI Number | 1669926887
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Entity Type | Organization
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Legal Business Name | KINDL WORKS LLC
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Dates
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Enumeration Date | 08/04/2016
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | 1570 LINDBERG DR STE 6
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City | SLIDELL
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State | LA
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Zip | 70458
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Country | US
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Telephone | 985-326-8614
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Fax | 985-445-1603
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Provider Business Mailing Address
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Address Line | 1570 LINDBERG DR SUITE 10
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City | SLIDELL
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State | LA
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Zip | 70458-8083
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Country | US
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Telephone | 985-326-8614
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Fax | 985-445-1603
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | LINDA A ROIG
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Credential |
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Telephone | 985-326-8614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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