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General NPI Number Information
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NPI Number | 1831362557
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Entity Type | Organization
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Legal Business Name | KINGSTON KABS, INC.
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Dates
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Enumeration Date | 04/03/2008
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 440 ROUTE 28
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City | KINGSTON
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State | NY
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Zip | 12401-7446
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Country | US
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Telephone | 516-922-2640
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Fax | 516-922-3724
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Provider Business Mailing Address
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Address Line | PO BOX 2622
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City | KINGSTON
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State | NY
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Zip | 12402-2622
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Country | US
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Telephone | 516-922-2640
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Fax | 516-922-3724
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. INGERID WEINTRAUB
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Credential |
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Telephone | 516-922-2640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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