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General NPI Number Information
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NPI Number | 1841611035
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Entity Type | Individual
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Provider Name | MARK A. KINCHES RRT
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Gender | Male
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Dates
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Enumeration Date | 12/15/2013
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Last Update Date | 12/15/2013
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Provider Practice Location Address
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Address Line | 6300 HALLE DR
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City | CLEVELAND
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State | OH
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Zip | 44125-4618
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Country | US
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Telephone | 412-360-9148
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Fax |
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Provider Business Mailing Address
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Address Line | 3175 OVERDALE DR
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City | RICHFIELD
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State | OH
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Zip | 44286-9519
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Country | US
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Telephone | 216-534-0133
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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 | 2278S1500X
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Taxonomy Name | SNF/Subacute Care Certified Respiratory Therapist
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License Number | 3767
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2279S1500X
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Taxonomy Name | SNF/Subacute Care Registered Respiratory Therapist
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License Number | 3767
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License Number State | OH
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