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General NPI Number Information
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NPI Number | 1730662982
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Entity Type | Individual
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Provider Name | RANDI L KENT PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 115 W DOTY ST
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City | MADISON
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State | WI
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Zip | 53703-3276
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Country | US
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Telephone | 608-284-6146
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Fax |
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Provider Business Mailing Address
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Address Line | 101 E MILWAUKEE ST STE 315
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City | JANESVILLE
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State | WI
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Zip | 53545-3002
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Country | US
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Telephone | 608-305-0201
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Fax | 608-563-0765
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5541-23
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License Number State | WI
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