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General NPI Number Information
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NPI Number | 1881848778
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Entity Type | Individual
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Provider Name | MICHAEL WILLARD KILCHENSTEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/05/2008
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 2590 GOLDEN GATE PKWY
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City | NAPLES
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State | FL
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Zip | 34105-3261
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Country | US
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Telephone | 293-331-2167
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Fax | 239-331-2168
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Provider Business Mailing Address
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Address Line | 121 BEARS PAW TRL
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City | NAPLES
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State | FL
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Zip | 34105-3123
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Country | US
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Telephone | 293-331-2167
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Fax | 239-331-2168
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME 106162
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License Number State | FL
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