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General NPI Number Information
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NPI Number | 1528194453
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Entity Type | Individual
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Provider Name | DOUGLAS KIMBALL PIERCE M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 06/28/2010
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Provider Practice Location Address
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Address Line | 8787 BRYAN DAIRY RD #360
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City | LARGO
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State | FL
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Zip | 33777-1251
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Country | US
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Telephone | 727-393-4900
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Fax | 727-393-4910
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Provider Business Mailing Address
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Address Line | 8787 BRYAN DAIRY RD #360
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City | LARGO
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State | FL
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Zip | 33777-1260
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Country | US
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Telephone | 727-393-4900
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Fax | 727-393-4910
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | FL0051303
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License Number State | FL
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