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General NPI Number Information
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NPI Number | 1700292653
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Entity Type | Individual
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Provider Name | DAMON ADAHN FERREIRA
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Gender | Male
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Dates
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Enumeration Date | 07/10/2014
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Last Update Date | 11/03/2014
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Provider Practice Location Address
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Address Line | 9330 STATE ROAD 54
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City | TRINITY
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State | FL
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Zip | 34655-1808
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Country | US
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Telephone | 727-834-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 15660 GREYROCK DR
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City | SPRING HILL
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State | FL
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Zip | 34610-3351
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Country | US
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Telephone | 727-637-6094
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9304594
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN9304594
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License Number State | FL
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