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General NPI Number Information
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NPI Number | 1851379036
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Entity Type | Individual
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Provider Name | KEVIN A. RADBILL DO
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Gender | Male
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 1400 S ORLANDO AVE STE 204
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City | WINTER PARK
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State | FL
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Zip | 32789-5543
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Country | US
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Telephone | 407-647-4008
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Fax | 407-647-3207
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Provider Business Mailing Address
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Address Line | PO BOX 21406
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City | TAMPA
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State | FL
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Zip | 33622-1406
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Country | US
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Telephone | 727-823-2188
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Fax | 727-828-0723
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS8477
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License Number State | FL
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