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General NPI Number Information
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NPI Number | 1063089654
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Entity Type | Organization
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Legal Business Name | DR. BRIAN TRIBUNELLA AND ASSOCIATES INC
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 06/10/2021
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Provider Practice Location Address
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Address Line | 1201 BRUCE B DOWNS BLVD
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9261
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Country | US
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Telephone | 813-907-3400
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Fax | 813-994-4263
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Provider Business Mailing Address
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Address Line | 1201 BRUCE B DOWNS BLVD
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9261
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Country | US
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Telephone | 813-907-3400
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Fax | 813-994-4263
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. BRIAN TRIBUNELLA
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Credential | OD
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Telephone | 813-310-1140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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