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General NPI Number Information
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NPI Number | 1033370952
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Entity Type | Organization
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Legal Business Name | J DANIEL LABS MD PA
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 720 GOODLETTE RD N SUITE 205
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City | NAPLES
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State | FL
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Zip | 34102-5656
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Country | US
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Telephone | 239-649-4263
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Fax |
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Provider Business Mailing Address
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Address Line | 720 GOODLETTE RD N SUITE 205
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City | NAPLES
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State | FL
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Zip | 34102-5656
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Country | US
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Telephone | 239-649-4263
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH D LABS
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Credential | MD
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Telephone | 239-649-4263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | ME0061579
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License Number State | FL
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