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General NPI Number Information
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NPI Number | 1932546330
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Entity Type | Organization
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Legal Business Name | DANIEL H GESSESSE MD PA
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Dates
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Enumeration Date | 05/28/2013
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Last Update Date | 05/28/2013
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Provider Practice Location Address
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Address Line | 379 6TH AVE W
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City | BRADENTON
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State | FL
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Zip | 34205-8820
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Country | US
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Telephone | 727-831-3134
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Fax |
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Provider Business Mailing Address
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Address Line | 8411 SOUTHBRIDGE DR APT 2
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City | FORT MYERS
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State | FL
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Zip | 33967-0500
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Country | US
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Telephone | 727-831-3134
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL H GESSESSE
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Credential | MD
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Telephone | 727-831-3134
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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 |
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License Number State |
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