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General NPI Number Information
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NPI Number | 1497965420
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Entity Type | Organization
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Legal Business Name | DAFFIN INTERNAL MEDICINE ASSOCIATES PA
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 02/28/2011
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Provider Practice Location Address
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Address Line | 746 HARRISON AVE
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City | PANAMA CITY
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State | FL
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Zip | 32401-2524
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Country | US
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Telephone | 850-763-4711
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Fax | 850-763-0056
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Provider Business Mailing Address
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Address Line | 746 HARRISON AVE
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City | PANAMA CITY
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State | FL
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Zip | 32401-2524
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Country | US
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Telephone | 850-763-4711
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Fax | 850-763-0056
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Authorized Official
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Title or Position | OWNER
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Name | DR. SIDNEY ALDERMAN DAFFIN III
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Credential | M.D.
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Telephone | 850-763-4711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | ME10644
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License Number State | FL
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