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NPI 1346307865

NPI 1346307865 : DEBRA PARDEE GAFFNEY AP : DELAND, FL

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General NPI Number Information
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    NPI Number           |    1346307865
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    Entity Type          |    Individual 
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    Provider Name        |    DEBRA PARDEE GAFFNEY AP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/03/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    339 E NEW YORK AVE 
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    City                 |    DELAND
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    State                |    FL
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    Zip                  |    32725-5209
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    Country              |    US
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    Telephone            |    386-734-4126
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    Fax                  |    386-736-7556
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Provider Business Mailing Address
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    Address Line         |    339 E NEW YORK AVE 
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    City                 |    DELAND
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    State                |    FL
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    Zip                  |    32725-5209
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    Country              |    US
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    Telephone            |    386-734-4126
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    Fax                  |    386-736-7556
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    AP1170
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    License Number State |    FL
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