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General NPI Number Information
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NPI Number | 1972538106
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Entity Type | Individual
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Provider Name | DANIEL J CEGLOWSKI MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1900 CORPORATE SQUARE BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32216-1941
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Country | US
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Telephone | 866-552-6557
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Fax | 866-797-6949
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Provider Business Mailing Address
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Address Line | 1900 CORPORATE SQUARE BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32216-1941
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Country | US
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Telephone | 904-513-5824
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Fax | 866-797-6949
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4301080382
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 4301080382
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 2021-01167
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 181231
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 2021-01167
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 171734
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License Number State | FL
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