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General NPI Number Information
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NPI Number | 1922036995
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Entity Type | Individual
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Provider Name | DANIEL H KETT MD
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Gender | Male
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 12/17/2008
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Provider Practice Location Address
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Address Line | 1611 NW 12TH AVE # C455A JACKSON MEMORIAL HOSPITAL
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 305-585-6664
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Fax | 305-585-0086
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Provider Business Mailing Address
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Address Line | 1500 NW 12TH AVENUE JMT EAST 1007
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City | MIAMI
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State | FL
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Zip | 33136-1028
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Country | US
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Telephone | 305-243-4664
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Fax | 305-243-9927
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME51707
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License Number State | FL
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