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General NPI Number Information
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NPI Number | 1023129087
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Entity Type | Organization
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Legal Business Name | TBIM HOSPITALISTS LLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/04/2011
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Provider Practice Location Address
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Address Line | 4600 N HABANA AVE SUITE 27
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City | TAMPA
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State | FL
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Zip | 33614-7166
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Country | US
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Telephone | 813-681-0340
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Fax | 813-961-2565
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Provider Business Mailing Address
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Address Line | PO BOX 271489
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City | TAMPA
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State | FL
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Zip | 33688-1489
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Country | US
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Telephone | 813-890-8004
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Fax | 813-890-8114
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAFAEL S RODRIGUEZ
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Credential | M.D.
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Telephone | 813-681-0340
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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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