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General NPI Number Information
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NPI Number | 1912346123
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Entity Type | Individual
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Provider Name | DANIEL ANTHONY PIETRAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 2151 45TH ST STE 210
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2015
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Country | US
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Telephone | 863-261-8354
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Fax | 863-638-5637
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Provider Business Mailing Address
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Address Line | 308 NW 5TH AVE
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City | OKEECHOBEE
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State | FL
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Zip | 34972-2568
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Country | US
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Telephone | 632-618-3548
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Fax | 863-824-7511
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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 | 01080903A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME128495
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License Number State | FL
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