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General NPI Number Information
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NPI Number | 1902858392
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Entity Type | Individual
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Provider Name | KIRSTEN NICOLA LUEDEMANN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8900 SW 88TH ST DEPARTMENT OF RADIOLOGY
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City | MIAMI
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State | FL
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Zip | 33176-2118
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Country | US
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Telephone | 305-598-5917
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Fax |
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Provider Business Mailing Address
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Address Line | 10 VENETIAN WAY
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City | MIAMI BEACH
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State | FL
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Zip | 33139-8831
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Country | US
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Telephone | 305-672-8626
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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 | ME83144
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License Number State | FL
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