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General NPI Number Information
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NPI Number | 1851345862
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Entity Type | Individual
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Provider Name | OTTO J KUNST MD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 08/25/2009
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Provider Practice Location Address
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Address Line | 13151 PARKLINE DR
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City | FORT MYERS
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State | FL
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Zip | 33913-7929
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Country | US
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Telephone | 239-561-5161
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Fax |
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Provider Business Mailing Address
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Address Line | 13151 PARKLINE DR
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City | FORT MYERS
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State | FL
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Zip | 33913-7929
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Country | US
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Telephone | 239-561-5161
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME24368
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 11321
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35-04-6413-K
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 48525
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 26063
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD-031175-E
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License Number State | PA
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Taxonomy #7
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 19304
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License Number State | NE
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Taxonomy #8
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 01042077A
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License Number State | IN
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Taxonomy #9
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4301062874
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License Number State | MI
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Taxonomy #10
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101050752
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License Number State | VA
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Taxonomy #11
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0046723
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License Number State | MD
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