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General NPI Number Information
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NPI Number | 1659507671
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Entity Type | Organization
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Legal Business Name | JIANNETTO INSTITUTE LLC
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Dates
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Enumeration Date | 06/04/2009
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Last Update Date | 06/04/2009
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Provider Practice Location Address
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Address Line | 27406 CASHFORD CIR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-8199
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Country | US
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Telephone | 813-907-7031
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Fax | 813-907-7083
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Provider Business Mailing Address
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Address Line | 27406 CASHFORD CIR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-8199
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Country | US
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Telephone | 813-907-7031
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Fax | 813-907-7083
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DANIEL F JIANNETTO
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Credential |
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Telephone | 813-907-7031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | ME81509
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License Number State | FL
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