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General NPI Number Information
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NPI Number | 1104826999
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Entity Type | Individual
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Provider Name | LUDWIG BAVETTA MD
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Gender | Male
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 502 W HIGHLAND BLVD
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City | INVERNESS
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State | FL
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Zip | 34452-4720
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Country | US
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Telephone | 352-726-1551
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Fax | 352-726-9119
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Provider Business Mailing Address
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Address Line | PO BOX 895124
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City | LEESBURG
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State | FL
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Zip | 34789-5124
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Country | US
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Telephone | 352-552-4273
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Fax | 352-728-0083
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME49346
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License Number State | FL
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