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General NPI Number Information
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NPI Number | 1780650192
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Entity Type | Individual
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Provider Name | JANET KINNEY M.D
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Gender | Female
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Dates
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Enumeration Date | 02/25/2006
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 1679 W NORTHWEST HWY
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City | GRAPEVINE
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State | TX
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Zip | 76051-3100
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Country | US
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Telephone | 817-310-0321
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Fax | 817-310-0266
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Provider Business Mailing Address
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Address Line | 1602 DEVON CT
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City | SOUTHLAKE
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State | TX
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Zip | 76092-4217
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Country | US
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Telephone | 817-521-3445
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Fax | 817-329-1887
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | K3280
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License Number State | TX
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