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General NPI Number Information
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NPI Number | 1982680310
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Entity Type | Individual
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Provider Name | RANDALL S. KING M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 5255 LOUGHBORO RD NW
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City | WASHINGTON
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State | DC
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Zip | 20016-2695
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Country | US
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Telephone | 202-537-4080
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Fax | 202-537-4588
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Provider Business Mailing Address
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Address Line | 14050 NW 14 STREET STE 190
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City | FT. LAUDERDALE
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State | FL
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Zip | 33323
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Country | US
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Telephone | 800-424-3672
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Fax | 954-424-3270
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD31299
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 038535
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 16326
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License Number State | NV
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