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General NPI Number Information
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NPI Number | 1356433437
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Entity Type | Individual
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Provider Name | DAVID JAMES FERNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 422 HARSTVEDT RD
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-5234
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Country | US
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Telephone | 850-343-4332
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Fax |
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Provider Business Mailing Address
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Address Line | 901 E 18TH ST
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City | TIFTON
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State | GA
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Zip | 31794
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Country | US
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Telephone | 229-353-6208
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Fax | 229-353-7722
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 054877
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME106534
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License Number State | FL
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