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General NPI Number Information
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NPI Number | 1104007087
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Entity Type | Organization
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Legal Business Name | JOHN D MUIR MD FACP
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 11181 HEALTH PARK BLVD SUITE 2260
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City | NAPLES
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State | FL
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Zip | 34110
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Country | US
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Telephone | 239-591-8900
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Fax | 239-514-7792
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Provider Business Mailing Address
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Address Line | 11181 HEALTH PARK BLVD SUITE 2260
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City | NAPLES
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State | FL
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Zip | 34110-5738
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Country | US
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Telephone | 239-591-8900
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Fax | 239-514-7792
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOHN DOUGLASS MUIR
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Credential | MD FACP
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Telephone | 239-591-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0060704
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License Number State | FL
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