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General NPI Number Information
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NPI Number | 1831138569
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Entity Type | Individual
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Provider Name | KEVIN L POUNDS MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 2155 W ORANGE GROVE RD
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City | TUCSON
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State | AZ
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Zip | 85741-3118
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Country | US
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Telephone | 520-742-0414
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Fax | 520-742-4063
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Provider Business Mailing Address
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Address Line | 5055 E BROADWAY BLVD STE A100
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City | TUCSON
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State | AZ
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Zip | 85711-3640
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Country | US
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Telephone | 520-547-4906
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Fax | 520-795-0225
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 28956
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License Number State | AZ
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