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General NPI Number Information
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NPI Number | 1063710036
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Entity Type | Organization
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Legal Business Name | JEFFREY E. POILEY, M.D., P.A.
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Dates
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Enumeration Date | 03/01/2011
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 324 E PAR ST
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City | ORLANDO
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State | FL
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Zip | 32804-4004
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Country | US
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Telephone | 407-896-8861
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Fax |
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Provider Business Mailing Address
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Address Line | 324 E PAR ST
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City | ORLANDO
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State | FL
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Zip | 32804-4004
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Country | US
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Telephone | 407-896-8861
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Fax |
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Authorized Official
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Title or Position | MEDICAL DOCTOR/OWNER
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Name | DR. JEFFREY E. POILEY
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Credential | M.D.
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Telephone | 407-896-8861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME12416
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License Number State | FL
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