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General NPI Number Information
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NPI Number | 1023008489
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Entity Type | Individual
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Provider Name | PATRICK ZIEMANN-GIMMEL MD
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Gender | Male
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 100 WHETSTONE PL
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-5774
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Country | US
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Telephone | 904-819-4478
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Fax |
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Provider Business Mailing Address
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Address Line | 108 TRADESMAN LN
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City | SAINT JOHNS
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State | FL
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Zip | 32259-8538
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Country | US
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Telephone | 904-819-4478
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 100393
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 99902
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License Number State | FL
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