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General NPI Number Information
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NPI Number | 1972894590
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Entity Type | Individual
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Provider Name | DEBRA DOUD MD
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Gender | Female
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Dates
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Enumeration Date | 04/30/2011
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 463 CARLTON ST
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City | WAUCHULA
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State | FL
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Zip | 33873-3400
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Country | US
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Telephone | 863-767-0522
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Fax | 863-767-0572
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Provider Business Mailing Address
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Address Line | 463 CARLTON ST
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City | WAUCHULA
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State | FL
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Zip | 33873-3400
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Country | US
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Telephone | 863-767-0522
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Fax | 863-767-0572
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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 | 036075766
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME111252
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C54845
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036.075766
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | C54845
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 76218
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License Number State | MN
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Taxonomy #7
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME111252
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License Number State | FL
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