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General NPI Number Information
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NPI Number | 1093719775
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Entity Type | Individual
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Provider Name | DANIEL J BEHN OD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 1601 38TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33713-1926
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Country | US
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Telephone | 727-822-4287
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Fax | 727-822-1086
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Provider Business Mailing Address
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Address Line | PO BOX 162264
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32716-2264
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Country | US
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Telephone | 941-792-2020
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Fax | 727-822-1086
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OPC3210
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License Number State | FL
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