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General NPI Number Information
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NPI Number | 1639794282
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Entity Type | Individual
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Provider Name | KESANN KINA DORMAND
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Gender | Female
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 9121 N MILITARY TRL STE 111
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-5985
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Country | US
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Telephone | 561-626-7604
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Fax | 877-266-6973
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Provider Business Mailing Address
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Address Line | 9121 N MILITARY TRL STE 111
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-5985
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Country | US
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Telephone | 561-626-7604
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Fax | 877-266-6973
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11007334
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License Number State | FL
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