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General NPI Number Information
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NPI Number | 1639483969
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Entity Type | Individual
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Provider Name | DANE C POHLMAN D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2010
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 8130 ROYAL PALM BLVD STE 104
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5703
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Country | US
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Telephone | 754-206-1877
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Fax | 754-229-3866
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Provider Business Mailing Address
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Address Line | 1753 NE 9TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-4442
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Country | US
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Telephone | 314-283-8738
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | Q3271
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | OS14281
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License Number State | FL
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