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General NPI Number Information
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NPI Number | 1023437274
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Entity Type | Individual
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Provider Name | DAVID JONATHAN POHL D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 1540 LAKE LANSING RD STE 202
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City | LANSING
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State | MI
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Zip | 48912-3757
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Country | US
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Telephone | 517-913-3820
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Fax | 517-913-3821
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Provider Business Mailing Address
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Address Line | 1450 BUSCH PKWY STE 100
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-4541
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Country | US
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Telephone | 847-459-7860
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Fax | 847-459-4228
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 5101020964
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101020964
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License Number State | MI
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