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General NPI Number Information
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NPI Number | 1093930323
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Entity Type | Organization
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Legal Business Name | DR RICHARD M TAMBE D C PA
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6815 14TH ST W SUITE 107
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City | BRADENTON
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State | FL
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Zip | 34207-5810
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Country | US
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Telephone | 941-518-6126
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20068
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City | BRADENTON
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State | FL
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Zip | 34204-0068
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Country | US
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Telephone | 941-518-6126
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. RICHARD MICHAEL TAMBE
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Credential | D.C.
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Telephone | 941-518-6126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH7635
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License Number State | FL
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