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General NPI Number Information
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NPI Number | 1669499604
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Entity Type | Individual
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Provider Name | KESTER J NEDD DO
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Gender | Male
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 14400 NW 77TH CT STE 306
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1592
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Country | US
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Telephone | 305-653-5155
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Fax | 305-653-5513
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Provider Business Mailing Address
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Address Line | 14400 NW 77TH CT STE 306
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1592
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Country | US
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Telephone | 305-653-5155
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Fax | 305-653-5513
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | OS4730
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License Number State | FL
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