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General NPI Number Information
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NPI Number | 1508326695
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Entity Type | Individual
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Provider Name | KELLEY NICOLE DAGES MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2019
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 2021 E COMMERCIAL BLVD STE 305
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-3769
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Country | US
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Telephone | 954-492-5525
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Fax | 954-492-1755
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Provider Business Mailing Address
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Address Line | 7800 SW 87TH AVE STE C-340
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City | MIAMI
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State | FL
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Zip | 33173-3570
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Country | US
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Telephone | 507-284-2551
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | ME172599
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License Number State | FL
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