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General NPI Number Information
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NPI Number | 1043471428
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Entity Type | Organization
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Legal Business Name | THOMAS O PEARSON PENN-TAMPA NEUROLOGY
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 01/11/2017
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Provider Practice Location Address
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Address Line | 35111 US HIGHWAY 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684-1935
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Country | US
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Telephone | 727-771-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 35111 US HIGHWAY 19 N STE 207
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City | PALM HARBOR
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State | FL
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Zip | 34684-1935
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Country | US
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Telephone | 727-599-4705
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Fax | 727-279-4784
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS O PEARSON
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Credential | MD
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Telephone | 717-994-7470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State | FL
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