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General NPI Number Information
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NPI Number | 1669405577
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Entity Type | Individual
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Provider Name | JEFFREY C LIVINGSTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 01/15/2016
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Provider Practice Location Address
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Address Line | 1613 HARRISON PKWY BLDG. C - SUITE 200
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City | SUNRISE
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State | FL
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Zip | 33323-2896
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Country | US
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Telephone | 800-437-2672
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Fax | 954-598-0908
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Provider Business Mailing Address
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Address Line | 2202 STATE AVE SUITE 103
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City | PANAMA CITY
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State | FL
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Zip | 32405-7601
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Country | US
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Telephone |
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 35-084222
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35-084222
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207VC0200X
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Taxonomy Name | Critical Care Medicine (Obstetrics & Gynecology) Physician
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License Number | 35-084222
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 39750
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 39750
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 207VC0200X
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Taxonomy Name | Critical Care Medicine (Obstetrics & Gynecology) Physician
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License Number | 39750
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 9500394
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License Number State | NC
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