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General NPI Number Information
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NPI Number | 1114160645
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Entity Type | Organization
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Legal Business Name | GOVINDAN P NAIR MD PA
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 08/31/2009
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Provider Practice Location Address
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Address Line | 4820 5TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33713-7218
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Country | US
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Telephone | 727-321-6768
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Fax | 727-327-8741
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Provider Business Mailing Address
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Address Line | 4820 5TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33713-7218
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Country | US
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Telephone | 727-321-6768
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Fax | 727-327-8741
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Authorized Official
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Title or Position | OFFICER/DIRECTOR
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Name | GOVINDAN P NAIR
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Credential | MD
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Telephone | 727-321-6768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME50422
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License Number State | FL
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