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General NPI Number Information
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NPI Number | 1215599261
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Entity Type | Individual
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Provider Name | SIROJ DEJHANSATHIT MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2019
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 17190 SE 109TH TERRACE RD
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City | SUMMERFIELD
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State | FL
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Zip | 34491-9017
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Country | US
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Telephone | 352-268-0003
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Fax |
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Provider Business Mailing Address
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Address Line | 6464 NE 118TH AVE
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City | THE VILLAGES
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State | FL
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Zip | 32162-8633
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Country | US
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Telephone | 806-224-3973
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME170251
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License Number State | FL
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