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General NPI Number Information
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NPI Number | 1285716027
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Entity Type | Individual
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Provider Name | JOSEPH WILLIAM DEFEO M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 6000 HIGHWAY 98 WEST NAVAL HOSPITAL PENSACOLA
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City | PENSACOLA
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State | FL
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Zip | 32512
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Country | US
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Telephone | 850-505-6261
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Fax | 850-505-6548
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Provider Business Mailing Address
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Address Line | 21 BILLINGSLEY DR
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City | PENSACOLA
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State | FL
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Zip | 32508-1029
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Country | US
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Telephone | 850-457-4498
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD022116-E
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License Number State | PA
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