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General NPI Number Information
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NPI Number | 1063443505
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Entity Type | Individual
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Provider Name | JOHN JEFFREY METZ D.M.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 06/09/2009
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Provider Practice Location Address
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Address Line | 20743 STERLINGTON DR
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City | LAND O LAKES
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State | FL
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Zip | 34638-4317
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Country | US
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Telephone | 813-948-6389
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Fax | 813-949-4026
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Provider Business Mailing Address
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Address Line | 20743 STERLINGTON DR
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City | LAND O LAKES
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State | FL
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Zip | 34638-4317
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Country | US
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Telephone | 813-948-6389
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Fax | 813-949-4026
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN 17555
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License Number State | FL
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