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NPI 1891985396

NPI 1891985396 : ARLETA A KITLAS MD : BRADENTON, FL

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General NPI Number Information
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    NPI Number           |    1891985396
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    Entity Type          |    Individual 
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    Provider Name        |    ARLETA A KITLAS MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/31/2007
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    Last Update Date     |    02/09/2015
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Provider Practice Location Address
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    Address Line         |    3915 8TH AVE W 
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    City                 |    BRADENTON
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    State                |    FL
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    Zip                  |    34205-1701
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    Country              |    US
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    Telephone            |    941-792-8600
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    Fax                  |    941-748-4363
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Provider Business Mailing Address
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    Address Line         |    3915 8TH AVE W 
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    City                 |    BRADENTON
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    State                |    FL
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    Zip                  |    34205-1701
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    Country              |    US
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    Telephone            |    941-792-8600
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    Fax                  |    941-748-4363
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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        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    MD.202331
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    License Number State |    LA
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Taxonomy #2
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    MD.202331
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    License Number State |    LA
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Taxonomy #3
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    Taxonomy Code        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    ME 106492
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    License Number State |    FL
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