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General NPI Number Information
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NPI Number | 1811284706
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Entity Type | Individual
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Provider Name | JOSEPH JANKE D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2011
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 200 SE HOSPITAL AVE
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City | STUART
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State | FL
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Zip | 34994
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Country | US
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Telephone | 727-223-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 6112 SW KEY DEER LANE
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City | PALM CITY
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State | FL
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Zip | 34990
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Country | US
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Telephone | 727-453-0737
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2011012268
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS12756
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License Number State | FL
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