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Individual
DANIEL DIERFELDT
Active
Individual
DANIEL DIERFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04544
KY
207Q00000X
Family Medicine Physician
125.059121
IL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
04544
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100607570
—
KY
Enumeration date
06/03/2011
Last updated
11/16/2020
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