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General NPI Number Information
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NPI Number | 1154710572
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Entity Type | Individual
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Provider Name | CAMERON RICHARDSON KENDALL M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 06/22/2025
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Provider Practice Location Address
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Address Line | 600 HIGHLAND AVE
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City | MADISON
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State | WI
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Zip | 53792-2111
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Country | US
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Telephone | 608-263-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 620 JOHN PAUL JONES CIR STE 275
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City | PORTSMOUTH
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State | VA
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Zip | 23708-2197
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Country | US
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Telephone |
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2017-01101
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 84377-20
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License Number State | WI
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