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General NPI Number Information
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NPI Number | 1194718023
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Entity Type | Individual
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Provider Name | TODD J KENDALL MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 6701 AIRPORT BLVD SUITE B 218
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City | MOBILE
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State | AL
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Zip | 36608-6776
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Country | US
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Telephone | 251-633-3617
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Fax | 251-633-9330
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Provider Business Mailing Address
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Address Line | 100 MEMORIAL HOSPITAL DR STE 1D
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City | MOBILE
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State | AL
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Zip | 36608-1180
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Country | US
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Telephone | 251-662-9760
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Fax | 251-272-1979
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 00022814
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 18733
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD.22814
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License Number State | AL
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