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General NPI Number Information
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NPI Number | 1689641193
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Entity Type | Individual
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Provider Name | JOHN R KAISER MD
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Gender | Male
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 100 SENTARA CIRCLE ROOM 2C
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-5714
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Country | US
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Telephone | 757-984-7217
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Fax | 757-984-7210
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Provider Business Mailing Address
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Address Line | 100 SENTARA CIR ROOM 2C
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-5713
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Country | US
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Telephone | 757-984-7217
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Fax | 757-984-7210
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101031836
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 0101031836
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License Number State | VA
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