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General NPI Number Information
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NPI Number | 1285916684
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Entity Type | Organization
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Legal Business Name | ESTHER OLITA LAYTON MD PA INC
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 11300 US HIGHWAY 19 N
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City | CLEARWATER
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State | FL
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Zip | 33764-7451
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Country | US
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Telephone | 731-434-3025
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Fax | 731-434-3027
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Provider Business Mailing Address
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Address Line | PO BOX 27
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City | SELMER
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State | TN
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Zip | 38375-0027
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Country | US
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Telephone | 731-434-3025
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Fax | 731-434-3027
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Authorized Official
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Title or Position | PRESIDENT
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Name | ESTHER OLITA LAYTON
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Credential | MD
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Telephone | 731-434-3025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME92325
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License Number State | FL
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