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NPI 1710072509

NPI 1710072509 : DANIEL ROBERT KASPRZYK M.D. : SARASOTA, FL

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General NPI Number Information
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    NPI Number           |    1710072509
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL ROBERT KASPRZYK M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/04/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    5682 BEE RIDGE RD SIUTE 100
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    City                 |    SARASOTA
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    State                |    FL
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    Zip                  |    34233-1500
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    Country              |    US
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    Telephone            |    727-398-6661
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13315 84TH TER 
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    City                 |    SEMINOLE
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    State                |    FL
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    Zip                  |    33776-3110
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    Country              |    US
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    Telephone            |    727-398-6661
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    Fax                  |    727-398-9412
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    ME 43409
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    License Number State |    FL
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