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General NPI Number Information
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NPI Number | 1457884876
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Entity Type | Individual
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Provider Name | KEVIN MATTHEW O'DONNELL D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 304 KINGSLEY LAKE DR STE 603
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City | ST AUGUSTINE
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State | FL
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Zip | 32092-3042
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Country | US
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Telephone | 904-342-4242
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Fax | 904-342-4243
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Provider Business Mailing Address
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Address Line | 304 KINGSLEY LAKE DR STE 603
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City | ST AUGUSTINE
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State | FL
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Zip | 32092-3042
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Country | US
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Telephone | 904-342-4242
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Fax | 904-342-4243
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 12145
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License Number State | FL
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