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General NPI Number Information
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NPI Number | 1932786886
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Entity Type | Individual
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Provider Name | DANIEL ENRIQUE TEJEDA MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1700 S 23RD ST
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City | FORT PIERCE
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State | FL
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Zip | 34950-4803
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Country | US
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Telephone | 772-297-6992
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Fax |
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Provider Business Mailing Address
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Address Line | 547 SW RIVERVIEW ST
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City | STUART
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State | FL
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Zip | 34994-2823
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Country | US
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Telephone | 786-792-9972
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Fax | 772-672-3741
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME166108
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License Number State | FL
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