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General NPI Number Information
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NPI Number | 1073567186
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Entity Type | Individual
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Provider Name | JACK DEROVANESIAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 6400 DAVIS BLVD STE 103
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City | NAPLES
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State | FL
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Zip | 34104-5321
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Country | US
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Telephone | 239-775-2300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 160448
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City | MIAMI
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State | FL
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Zip | 33116-0448
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Country | US
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Telephone | 239-262-4519
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Fax | 239-262-5672
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME26879
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License Number State | FL
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