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General NPI Number Information
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NPI Number | 1790095693
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Entity Type | Organization
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Legal Business Name | DR DAVID H KINER DO PA
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 10/14/2010
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Provider Practice Location Address
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Address Line | 4801 S CONGRESS AVE SUITE 304
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City | LAKE WORTH
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State | FL
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Zip | 33461-4746
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Country | US
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Telephone | 561-964-9300
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Fax | 561-964-5835
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Provider Business Mailing Address
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Address Line | 4801 S CONGRESS AVE SUITE 304
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City | LAKE WORTH
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State | FL
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Zip | 33461-4746
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Country | US
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Telephone | 561-964-9300
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Fax | 561-964-5835
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID H KINER
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Credential | DO
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Telephone | 561-964-9300
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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 | OS 2145
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License Number State | FL
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