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General NPI Number Information
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NPI Number | 1386671303
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Entity Type | Individual
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Provider Name | NARENDRA M KINI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 12850 SW 60TH AVE SUITE 300
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City | PINECREST
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State | FL
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Zip | 33156-7101
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Country | US
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Telephone | 305-661-6072
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Fax |
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Provider Business Mailing Address
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Address Line | 12850 SW 60TH AVE SUITE 300
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City | PINECREST
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State | FL
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Zip | 33156-7101
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 084506
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME106315
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License Number State | FL
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