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General NPI Number Information
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NPI Number | 1578774402
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Entity Type | Individual
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Provider Name | JOHN SLISH M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 1329 SW 16TH ST # 4270 DEPARTMENT OF EMERGENCY MEDICAL SERVICES
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City | GAINESVILLE
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State | FL
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Zip | 32608-1128
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Country | US
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Telephone | 352-265-5911
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Fax |
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Provider Business Mailing Address
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Address Line | 1329 SW 16TH ST # 4270 DEPARTMENT OF EMERGENCY MEDICAL SERVICES
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City | GAINESVILLE
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State | FL
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Zip | 32608-1128
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Country | US
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Telephone | 352-265-5911
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD.201559
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 98008
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME101690
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License Number State | FL
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