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NPI 1336396738

NPI 1336396738 : DOUGLAS TERZIGNI DO PA : HOLIDAY, FL

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General NPI Number Information
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    NPI Number           |    1336396738
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    Entity Type          |    Organization 
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    Legal Business Name  |    DOUGLAS TERZIGNI DO PA 
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Dates
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    Enumeration Date     |    08/27/2008
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    Last Update Date     |    11/06/2008
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Provider Practice Location Address
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    Address Line         |    2240 US HIGHWAY 19 
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    City                 |    HOLIDAY
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    State                |    FL
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    Zip                  |    34691-4351
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    Country              |    US
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    Telephone            |    727-937-8888
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2240 US HIGHWAY 19 
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    City                 |    HOLIDAY
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    State                |    FL
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    Zip                  |    34691-4351
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. DOUGLAS  TERZIGNI 
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    Credential           |    DO
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    Telephone            |    727-771-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207T00000X
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    Taxonomy Name        |    Neurological Surgery Physician
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    License Number       |    OS6214
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    License Number State |    FL
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