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General NPI Number Information
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NPI Number | 1730492570
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Entity Type | Individual
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Provider Name | KIRK A POWERS P.A.
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Gender | Male
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 615 COPELAND MILL RD STE 2D
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City | WESTERVILLE
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State | OH
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Zip | 43081-8904
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Country | US
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Telephone | 614-939-2308
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Fax | 614-939-2309
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Provider Business Mailing Address
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Address Line | 164 WETHERBY LN STE B
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City | WESTERVILLE
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State | OH
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Zip | 43081-4957
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Country | US
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Telephone | 614-939-2308
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Fax | 614-939-2309
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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 | 50.002993
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License Number State | OH
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