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General NPI Number Information
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NPI Number | 1801390299
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Entity Type | Individual
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Provider Name | STEPHANIE DIGIOVANNI KINSLEY DO
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Gender | Female
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 809 UNIVERSITY BLVD E
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2071
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Country | US
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Telephone | 205-759-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 4508 26TH ST E
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City | TUSCALOOSA
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State | AL
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Zip | 35404-5163
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Country | US
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Telephone | 832-640-5119
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO.2073
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License Number State | AL
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