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NPI 1760616411

NPI 1760616411 : KEVIN NEIL TURNER MD : ORANGE PARK, FL

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General NPI Number Information
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    NPI Number           |    1760616411
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    Entity Type          |    Individual 
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    Provider Name        |    KEVIN NEIL TURNER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/11/2009
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    Last Update Date     |    03/29/2018
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Provider Practice Location Address
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    Address Line         |    2001 KINGSLEY AVE FL 2 
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    City                 |    ORANGE PARK
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    State                |    FL
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    Zip                  |    32073-5148
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    Country              |    US
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    Telephone            |    904-639-2667
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2001 KINGSLEY AVE FL 2 
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    City                 |    ORANGE PARK
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    State                |    FL
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    Zip                  |    32073-5148
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    Country              |    US
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    Telephone            |    904-639-2667
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    A107588
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    2080N0001X
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    Taxonomy Name        |    Neonatal-Perinatal Medicine Physician
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    License Number       |    ME118770
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    License Number State |    FL
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