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General NPI Number Information
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NPI Number | 1295930246
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Entity Type | Individual
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Provider Name | JONATHAN D DREIER MD
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Gender | Male
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 03/22/2019
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Provider Practice Location Address
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Address Line | 706 THE RIALTO
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City | VENICE
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State | FL
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Zip | 34285-3524
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Country | US
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Telephone | 941-484-8004
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Fax | 941-488-6497
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Provider Business Mailing Address
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Address Line | 150 SE 17TH ST STE 503
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City | OCALA
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State | FL
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Zip | 34471-5176
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Country | US
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Telephone | 352-867-8311
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Fax | 352-867-1053
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME 98842
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License Number State | FL
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