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General NPI Number Information
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NPI Number | 1285783274
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Entity Type | Individual
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Provider Name | MARK G KENT MD
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 1400 N US HIGHWAY 441 STE 526
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City | THE VILLAGES
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State | FL
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Zip | 32159-8984
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Country | US
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Telephone | 352-751-8960
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Fax | 352-728-7805
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Provider Business Mailing Address
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Address Line | 600 E DIXIE AVE
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City | LEESBURG
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State | FL
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Zip | 34748-5925
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Country | US
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Telephone | 352-751-8960
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD35866
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME138849
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License Number State | FL
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