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General NPI Number Information
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NPI Number | 1497047211
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Entity Type | Individual
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Provider Name | DANNY ESTUPINAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 1401 CENTERVILLE RD STE 600
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4661
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Country | US
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Telephone | 850-878-8121
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Fax | 850-942-6515
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Provider Business Mailing Address
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Address Line | 1401 CENTERVILLE RD STE 300
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4675
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Country | US
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Telephone | 850-878-8121
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Fax | 850-942-6515
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 122851
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License Number State | FL
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