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General NPI Number Information
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NPI Number | 1972792190
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Entity Type | Individual
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Provider Name | WILLIAM KITCHENS C.O.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 314 ERIN DR STE 101
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City | KNOXVILLE
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State | TN
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Zip | 37919-6210
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Country | US
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Telephone | 865-588-4256
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Fax | 865-588-4355
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Provider Business Mailing Address
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Address Line | 314 ERIN DR STE 101
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City | KNOXVILLE
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State | TN
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Zip | 37919-6210
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Country | US
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Telephone | 865-588-4256
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Fax | 865-588-4355
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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Taxonomy #3
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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