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General NPI Number Information
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NPI Number | 1679531339
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Entity Type | Individual
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Provider Name | KIMBERLEY LENTZ MCKENNEY MD
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 11/20/2009
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Provider Practice Location Address
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Address Line | 20900 BISCAYNE BOULEVARD AVENTURA HOSPITAL
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City | AVENTURA
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State | FL
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Zip | 33180
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Country | US
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Telephone | 305-682-7398
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Fax | 305-937-6988
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Provider Business Mailing Address
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Address Line | P.O. BOX 19510 FLORIDA UNITED RADIOLOGY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33318-0510
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Country | US
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Telephone | 800-437-2672
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Fax | 954-851-1758
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME61583
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License Number State | FL
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