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General NPI Number Information
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NPI Number | 1386620631
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Entity Type | Individual
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Provider Name | FRANCIS W. IACOBELLIS MD
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Gender | Male
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 125 E 63RD ST UNIT 1BC
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City | NEW YORK
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State | NY
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Zip | 10065-7302
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Country | US
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Telephone | 212-661-3376
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Fax | 212-661-3366
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Provider Business Mailing Address
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Address Line | 151 SOUTHHALL LN STE 300
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City | MAITLAND
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State | FL
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Zip | 32751-7172
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Country | US
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Telephone | 407-875-2080
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Fax | 76-503-4554
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 114091-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME132341
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License Number State | FL
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