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General NPI Number Information
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NPI Number | 1376508317
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Entity Type | Organization
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Legal Business Name | KENNETH A GIRALDO MD PA
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 5831 BEE RIDGE RD SUITE 100
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City | SARASOTA
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State | FL
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Zip | 34233-5088
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Country | US
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Telephone | 941-343-1040
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Fax | 941-343-1042
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Provider Business Mailing Address
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Address Line | 5831 BEE RIDGE RD SUITE 100
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City | SARASOTA
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State | FL
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Zip | 34233-5088
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Country | US
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Telephone | 941-343-1040
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Fax | 941-343-1098
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH A GIRALDO
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Credential | MD
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Telephone | 941-343-1040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME71677
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License Number State | FL
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