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General NPI Number Information
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NPI Number | 1891920914
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Entity Type | Individual
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Provider Name | ANNE CAROLINE KITCHENS M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2009
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Last Update Date | 06/10/2021
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Provider Practice Location Address
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Address Line | 8435 CLEARVISTA PL STE 101
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City | INDIANAPOLIS
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State | IN
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Zip | 46256
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Country | US
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Telephone | 317-621-1006
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Fax | 317-355-6822
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Provider Business Mailing Address
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Address Line | 6626 E 75TH ST STE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2890
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Country | US
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Telephone | 317-621-1647
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 11014777A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 01071351A
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License Number State | IN
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