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General NPI Number Information
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NPI Number | 1821246661
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Entity Type | Organization
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Legal Business Name | POINTE WEST INFECTIOUS DISEASES P L
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Dates
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Enumeration Date | 09/05/2008
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 6010 POINTE WEST BLVD
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City | BRADENTON
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State | FL
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Zip | 34209-5531
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Country | US
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Telephone | 941-827-1105
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Fax | 941-827-4319
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Provider Business Mailing Address
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Address Line | 6010 POINTE WEST BLVD
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City | BRADENTON
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State | FL
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Zip | 34209-5531
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Country | US
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Telephone | 941-827-1105
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Fax | 941-827-4319
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES D DEMAIO
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Credential | M.D.
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Telephone | 941-827-1105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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