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General NPI Number Information
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NPI Number | 1932528742
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Entity Type | Organization
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Legal Business Name | KV MEDICAL ALLIANCE
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Dates
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Enumeration Date | 04/08/2014
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Last Update Date | 04/08/2014
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Provider Practice Location Address
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Address Line | 15516 SW OSCEOLA ST STE B
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City | INDIANTOWN
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State | FL
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Zip | 34956-3414
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Country | US
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Telephone | 863-610-2060
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2997
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City | OKEECHOBEE
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State | FL
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Zip | 34973-2997
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Country | US
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Telephone | 863-610-2060
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MUHAMMAD KAMAL SYED
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Credential | M.D.
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Telephone | 863-610-2060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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