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General NPI Number Information
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NPI Number | 1962961896
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Entity Type | Individual
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Provider Name | HANNAH MEZAN KITCHELL MD
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Gender | Female
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 169 ASHLEY AVENUE 202 MAIN HOSPITAL. MSC333
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City | CHARLESTON
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State | SC
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Zip | 29425-3018
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Country | US
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Telephone | 843-792-0269
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Fax |
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Provider Business Mailing Address
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Address Line | 200 CORPORATE BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70508-3870
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Country | US
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Telephone | 800-893-9698
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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 | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | 89440
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 345384
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License Number State | LA
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