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General NPI Number Information
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NPI Number | 1831194992
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Entity Type | Individual
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Provider Name | KENNETH SON M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1000 MCKINLEY PARK DR
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City | MARION
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State | OH
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Zip | 43302-6399
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Country | US
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Telephone | 740-383-8473
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Fax | 740-383-8695
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Provider Business Mailing Address
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Address Line | PO BOX 7527
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City | DUBLIN
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State | OH
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Zip | 43017-0727
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Country | US
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Telephone | 614-544-6366
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Fax | 614-544-6350
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301100071
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901004799
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 4301100071
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License Number State | MI
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