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General NPI Number Information
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NPI Number | 1568941946
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Entity Type | Organization
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Legal Business Name | DPBMD, LLC.
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Dates
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Enumeration Date | 08/07/2018
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 1561 W FAIRBANKS AVE STE 100
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City | WINTER PARK
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State | FL
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Zip | 32789-4678
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Country | US
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Telephone | 407-478-4920
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Fax | 407-478-4921
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Provider Business Mailing Address
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Address Line | 1561 W FAIRBANKS AVE STE 100
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City | WINTER PARK
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State | FL
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Zip | 32789-4678
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Country | US
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Telephone | 407-478-4920
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Fax | 407-478-4921
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID BUSER
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Credential | MD
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Telephone | 407-478-4920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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