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General NPI Number Information
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NPI Number | 1093195398
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Entity Type | Individual
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Provider Name | KYLE NATHANIEL CORRELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 320 N CLYDE MORRIS BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2744
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Country | US
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Telephone | 386-238-3242
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Fax | 386-238-3223
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Provider Business Mailing Address
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Address Line | 320 N CLYDE MORRIS BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2744
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Country | US
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Telephone | 386-238-3242
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Fax | 386-238-3223
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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 | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number | ME130000
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME130000
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License Number State | FL
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