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General NPI Number Information
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NPI Number | 1801887823
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Entity Type | Individual
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Provider Name | DAVID PANTING MD
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Gender | Male
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 10/03/2014
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Provider Practice Location Address
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Address Line | 401 2ND AVE E
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City | BRADENTON
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State | FL
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Zip | 34208-1105
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Country | US
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Telephone | 941-748-4600
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Fax | 941-748-4604
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Provider Business Mailing Address
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Address Line | PO BOX 14156
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City | BRADENTON
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State | FL
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Zip | 34280-4156
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Country | US
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Telephone | 941-739-0323
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Fax | 941-739-5390
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME 0070765
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License Number State | FL
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