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General NPI Number Information
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NPI Number | 1023471547
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Entity Type | Individual
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Provider Name | DANIEL G FUNSCH JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 7901 4TH ST N # 31505
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 305-771-4986
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N # 31505
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 305-771-4986
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Fax | 305-771-4986
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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 | ME146021
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License Number State | FL
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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 | E-14489
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License Number State | AR
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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 | 29838
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 296346-01
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 12735A
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License Number State | WY
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA10444800
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License Number State | NJ
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