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General NPI Number Information
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NPI Number | 1164988028
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Entity Type | Individual
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Provider Name | RAYMOND DAO NP
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Gender | Male
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Dates
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Enumeration Date | 02/15/2019
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 1 SHIRCLIFF WAY
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City | JACKSONVILLE
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State | FL
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Zip | 32204-4748
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Country | US
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Telephone | 904-308-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 7868 KNOLL DR N
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City | JACKSONVILLE
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State | FL
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Zip | 32221-6126
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Country | US
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Telephone | 904-404-7512
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Fax |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN11009380
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9265580
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | APRN1109380
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | APRN1109380
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License Number State | FL
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