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General NPI Number Information
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NPI Number | 1457538514
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Entity Type | Individual
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Provider Name | RANDALL KEITH REDFERN CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 8900 N KENDALL DR
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City | MIAMI
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State | FL
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Zip | 33176-2118
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Country | US
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Telephone | 786-596-4947
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Fax |
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Provider Business Mailing Address
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Address Line | 13041 NW 1ST ST APT 304
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2292
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Country | US
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Telephone | 850-508-2635
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 9213326
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License Number State | FL
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