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General NPI Number Information
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NPI Number | 1043340342
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Entity Type | Organization
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Legal Business Name | DR YOVANNI TINEO P A
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 90 CYPRESS WAY E STE 10
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City | NAPLES
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State | FL
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Zip | 34110-9275
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Country | US
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Telephone | 239-592-5655
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Fax | 239-592-1370
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Provider Business Mailing Address
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Address Line | 90 CYPRESS WAY E STE 10
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City | NAPLES
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State | FL
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Zip | 34110-9275
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Country | US
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Telephone | 239-592-5655
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Fax | 239-592-1370
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YOVANNI TINEO
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Credential | D O
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Telephone | 239-592-5655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS8954
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License Number State | FL
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