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General NPI Number Information
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NPI Number | 1003579996
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Entity Type | Organization
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Legal Business Name | ASSOCIATED PRACTICE MANAGEMENT
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 4830 W KENNEDY BLVD STE 600-114
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City | TAMPA
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State | FL
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Zip | 33609-2564
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Country | US
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Telephone | 727-430-3694
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 306
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City | PALM HARBOR
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State | FL
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Zip | 34682-0306
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ANTONIO SOUCHET
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Credential |
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Telephone | 727-430-3694
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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 |
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License Number State |
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