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General NPI Number Information
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NPI Number | 1033570783
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Entity Type | Individual
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Provider Name | DEBRA C JEFFRIES MD
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Gender | Female
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Dates
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Enumeration Date | 03/09/2016
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Last Update Date | 03/09/2016
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Provider Practice Location Address
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Address Line | 6816 DALI AVE E 103
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City | LAND O LAKES
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State | FL
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Zip | 34637-7851
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Country | US
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Telephone | 810-997-5931
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Fax |
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Provider Business Mailing Address
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Address Line | 6816 DALI AVE E 103
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City | LAND O LAKES
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State | FL
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Zip | 34637-7851
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Country | US
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Telephone | 813-997-5931
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 11509
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License Number State | AL
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