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General NPI Number Information
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NPI Number | 1043241284
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Entity Type | Organization
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Legal Business Name | KENDALL REGIONAL MEDICAL SERVICES
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11440 N KENDALL DR SUITE 208
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City | MIAMI
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State | FL
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Zip | 33176-1044
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Country | US
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Telephone | 305-412-5535
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Fax |
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Provider Business Mailing Address
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Address Line | 11440 N KENDALL DR SUITE 208
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City | MIAMI
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State | FL
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Zip | 33176-1044
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Country | US
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Telephone | 305-412-5535
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. WILLIAM M ABELOVE
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Credential | M.D. F.A.C.P.
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Telephone | 305-279-7992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State |
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