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General NPI Number Information
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NPI Number | 1104136399
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Entity Type | Individual
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Provider Name | JARED A DESTACKELBERG PA
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Gender | Male
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Dates
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Enumeration Date | 10/21/2010
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Last Update Date | 10/21/2010
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Provider Practice Location Address
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Address Line | 1901 SE 18TH AVE STE 101
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City | OCALA
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State | FL
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Zip | 34471-8215
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Country | US
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Telephone | 352-622-3360
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Fax | 352-671-3269
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Provider Business Mailing Address
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Address Line | 1901 SE 18TH AVE STE 101
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City | OCALA
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State | FL
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Zip | 34471-8215
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Country | US
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Telephone | 352-622-3360
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Fax | 352-671-3269
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PAT 9105672
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License Number State | FL
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