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General NPI Number Information
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NPI Number | 1164422325
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Entity Type | Individual
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Provider Name | FREDRIC JARRETT M.D.,
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Gender | Male
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 1888 BROTHER GEENEN WAY
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City | SARASOTA
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State | FL
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Zip | 34236-7118
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Country | US
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Telephone | 941-556-3220
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Fax | 412-681-8713
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Provider Business Mailing Address
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Address Line | 1900 BROTHER GEENEN WAY
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City | SARASOTA
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State | FL
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Zip | 34236-7102
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Country | US
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Telephone | 941-556-3220
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Fax | 941-955-8214
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD024651E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD024651E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME124619
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License Number State | FL
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