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General NPI Number Information
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NPI Number | 1972796431
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Entity Type | Organization
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Legal Business Name | R K KADIYALA MD PL
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Dates
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Enumeration Date | 08/19/2007
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Last Update Date | 08/19/2007
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Provider Practice Location Address
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Address Line | 4302 ALTON RD SUITE 710
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2891
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Country | US
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Telephone | 305-695-1290
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Fax | 305-674-2764
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Provider Business Mailing Address
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Address Line | PO BOX 402866
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City | MIAMI BEACH
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State | FL
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Zip | 33140-0866
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Country | US
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Telephone | 305-695-1290
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Fax | 305-674-2764
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Authorized Official
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Title or Position | MGRM
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Name | RAJENDRA KUMAR KADIYALA
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Credential | MD
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Telephone | 305-695-1290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | ME89940
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License Number State | FL
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