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General NPI Number Information
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NPI Number | 1053585851
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE FOOT AND ANKLE CENTER PA
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 2716 STONEWOOD PARK LOOP
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City | LAND O LAKES
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State | FL
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Zip | 34638-6213
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Country | US
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Telephone | 813-909-0865
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Fax |
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Provider Business Mailing Address
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Address Line | 2716 STONEWOOD PARK LOOP
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City | LAND O LAKES
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State | FL
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Zip | 34638-6213
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Country | US
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Telephone | 813-909-0865
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Fax | 813-949-9532
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE TJAMALOUKAS
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Credential | D.P.M.
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Telephone | 727-410-4988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO3177
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License Number State | FL
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