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General NPI Number Information
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NPI Number | 1710962089
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Entity Type | Individual
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Provider Name | PAULINA D KITCHER MD
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Gender | Female
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 315 S MANNING BLVD STE 6408A
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City | ALBANY
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State | NY
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Zip | 12208-1707
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Country | US
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Telephone | 518-525-1303
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Fax |
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Provider Business Mailing Address
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Address Line | 428 N SUPERIOR ST STE 110
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City | DE PERE
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State | WI
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Zip | 54115
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Country | US
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Telephone | 707-376-8636
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 279888
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 45256
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 51875
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License Number State | CT
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