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General NPI Number Information
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NPI Number | 1801021787
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Entity Type | Organization
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Legal Business Name | MEDICAL ASSOCIATES OF NORTH FLORIDA, INC.
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 05/21/2009
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Provider Practice Location Address
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Address Line | 3948 3RD ST S SUITE 1320
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-5847
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Country | US
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Telephone | 904-328-2238
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Fax | 904-212-1719
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Provider Business Mailing Address
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Address Line | 3948 3RD ST S SUITE 1320
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-5847
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Country | US
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Telephone | 904-328-2238
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Fax | 904-212-1719
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Authorized Official
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Title or Position | CEO
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Name | DR. DOUGLAS MICHAEL KLEINER
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Credential | PHD
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Telephone | 904-328-2238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | EMT 300287
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN 9182095
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number | AL 377
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME 80275
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License Number State | FL
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