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General NPI Number Information
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NPI Number | 1013242932
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Entity Type | Individual
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Provider Name | DANA D DAMERON JR. D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/09/2009
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 2724 N HIAWASSEE RD STE 100
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City | ORLANDO
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State | FL
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Zip | 32818-3003
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Country | US
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Telephone | 407-906-0082
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Fax | 407-604-2606
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Provider Business Mailing Address
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Address Line | 1395 NW 167TH ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-5710
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Country | US
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Telephone | 305-628-6117
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Fax | 305-393-5989
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS11959
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License Number State | FL
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