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General NPI Number Information
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NPI Number | 1043506595
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Entity Type | Individual
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Provider Name | KENDRA DENISE DEANGELIS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 28050 US HWY 19 N #402
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City | CLEARWATER
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State | FL
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Zip | 33761-2629
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Country | US
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Telephone | 727-285-8006
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Fax | 727-216-6560
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Provider Business Mailing Address
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Address Line | 28050 US HWY 19 N #402
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City | CLEARWATER
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State | FL
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Zip | 33761-2629
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Country | US
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Telephone | 727-285-8006
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Fax | 727-216-6560
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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 | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number | 136932
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number | ME136932
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME136932
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License Number State | FL
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