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General NPI Number Information
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NPI Number | 1396257002
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Entity Type | Organization
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Legal Business Name | KFM MD LLC
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Dates
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Enumeration Date | 11/03/2017
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 1609 PASADENA AVE S STE 4G
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City | SOUTH PASADENA
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State | FL
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Zip | 33707-4564
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Country | US
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Telephone | 727-323-1090
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Fax | 727-323-1010
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Provider Business Mailing Address
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Address Line | 1609 PASADENA AVE S STE 4G
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City | SOUTH PASADENA
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State | FL
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Zip | 33707-4564
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Country | US
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Telephone | 727-458-5483
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | DR. KAREN FORSYTHE MONROE
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Credential | MD
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Telephone | 727-458-5483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME89609
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | ME89609
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License Number State | FL
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