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General NPI Number Information
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NPI Number | 1053469312
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Entity Type | Individual
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Provider Name | MICHAEL GERARD DEICHEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | UNIVERSITY OF CENTRAL FLORIDA HEALTH SERVICES 4000 CENTRAL FLORIDA BLVD.
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City | ORLANDO
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State | FL
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Zip | 32816-3333
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Country | US
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Telephone | 407-823-0260
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Fax | 407-823-0417
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Provider Business Mailing Address
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Address Line | UNIVERSITY OF CENTRAL FLORIDA HEALTH SERVICES 4000 CENTRAL FLORIDA BLVD.
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City | ORLANDO
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State | FL
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Zip | 32816-3333
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Country | US
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Telephone | 407-823-0260
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Fax | 407-823-0417
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0043762
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License Number State | FL
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