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General NPI Number Information
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NPI Number | 1275588303
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Entity Type | Individual
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Provider Name | DANIEL L WOHL MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 03/11/2013
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Provider Practice Location Address
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Address Line | 4114 SUNBEAM RD SUITE 403
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City | JACKSONVILLE
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State | FL
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Zip | 32257-8847
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Country | US
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Telephone | 904-262-7368
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Fax | 904-262-7655
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Provider Business Mailing Address
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Address Line | 11945 SAN JOSE BLVD BLDG 300
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City | JACKSONVILLE
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State | FL
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Zip | 32223-1613
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Country | US
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Telephone | 904-396-1725
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Fax | 904-399-1717
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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 | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | ME61718
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License Number State | FL
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