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General NPI Number Information
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NPI Number | 1043203003
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Entity Type | Individual
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Provider Name | JEREMY D HAVAS D.O
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Gender | Male
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 3233 SW 33RD RD STE 301
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City | OCALA
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State | FL
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Zip | 34474-8425
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Country | US
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Telephone | 352-554-4878
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Fax | 833-340-7254
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Provider Business Mailing Address
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Address Line | PO BOX 2463
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City | CRYSTAL RIVER
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State | FL
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Zip | 34423-2463
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Country | US
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Telephone | 352-795-5628
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Fax | 352-795-9262
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0007352
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License Number State | FL
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