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General NPI Number Information
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NPI Number | 1831471069
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Entity Type | Organization
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Legal Business Name | DAVID A. SIGALOW, MD, PA
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | 215 NE 19TH DR
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City | OKEECHOBEE
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State | FL
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Zip | 34972-1933
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Country | US
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Telephone | 863-763-0217
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Fax | 863-467-5148
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Provider Business Mailing Address
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Address Line | 215 NE 19TH DR
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City | OKEECHOBEE
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State | FL
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Zip | 34972-1933
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Country | US
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Telephone | 863-763-0217
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Fax | 863-467-5148
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. DAVID A SIGALOW
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Credential | M.D., P.A.
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Telephone | 863-763-0217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0062053
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License Number State | FL
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