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General NPI Number Information
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NPI Number | 1851558928
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Entity Type | Individual
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Provider Name | BRETT JASON KANDELL MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 4300 ALTON RD DEPT OF ANESTHESIA
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2948
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Country | US
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Telephone | 305-674-2742
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Fax |
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Provider Business Mailing Address
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Address Line | 14060 SW 67TH PL
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City | PALMETTO BAY
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State | FL
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Zip | 33158-1392
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Country | US
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Telephone | 305-409-3289
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 236501
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME103130
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License Number State | FL
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