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General NPI Number Information
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NPI Number | 1972611051
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Entity Type | Individual
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Provider Name | STEPHEN LEIGH KINNEY MD
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Gender | Male
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2 WISCONSIN CIR STE 700
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City | CHEVY CHASE
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State | MD
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Zip | 20815-7007
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Country | US
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Telephone | 202-368-6820
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Fax | 202-370-6945
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Provider Business Mailing Address
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Address Line | 2 WISCONSIN CIR STE 700
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City | CHEVY CHASE
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State | MD
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Zip | 20815-7007
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Country | US
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Telephone | 202-368-6820
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Fax | 202-370-6945
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | D0037617
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | MD19758
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License Number State | DC
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