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General NPI Number Information
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NPI Number | 1780692079
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Entity Type | Individual
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Provider Name | ANDREW P DAIGLE MD
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Gender | Male
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 02/15/2021
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Provider Practice Location Address
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Address Line | 4266 SUNBEAM RD
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City | JACKSONVILLE
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State | FL
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Zip | 32257-2425
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Country | US
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Telephone | 904-407-7700
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Fax | 904-407-6001
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Provider Business Mailing Address
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Address Line | 4266 SUNBEAM RD
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City | JACKSONVILLE
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State | FL
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Zip | 32257-2425
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Country | US
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Telephone | 904-407-7700
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Fax | 904-407-6001
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME61517
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 13573
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 27686
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 0101246311
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 61517
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 56034
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License Number State | TN
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