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General NPI Number Information
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NPI Number | 1114235991
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Entity Type | Individual
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Provider Name | KANAGALINGAM GOPALAN M.B.B.S
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Gender | Male
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 11/04/2015
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Provider Practice Location Address
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Address Line | 3030 N ROCKY POINT DR W SUITE 670
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City | TAMPA
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State | FL
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Zip | 33607-5906
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Country | US
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Telephone | 352-671-2254
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Fax | 352-671-2291
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Provider Business Mailing Address
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Address Line | 3030 N ROCKY POINT DR W SUITE 670
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City | TAMPA
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State | FL
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Zip | 33607-5906
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Country | US
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Telephone | 352-671-2254
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Fax | 352-671-2291
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME119714
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | ME119714
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License Number State | FL
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