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General NPI Number Information
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NPI Number | 1114927027
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Entity Type | Organization
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Legal Business Name | TAMPA MEDICAL CARE, INC.
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 5106 N ARMENIA AVE STE 4
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City | TAMPA
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State | FL
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Zip | 33603-1433
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Country | US
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Telephone | 813-931-2366
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Fax | 813-936-8886
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Provider Business Mailing Address
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Address Line | 5106 N ARMENIA AVE STE 4
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City | TAMPA
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State | FL
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Zip | 33603-1433
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Country | US
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Telephone | 813-931-2366
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Fax | 813-936-8886
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. CHANDRA PRAKASH BAPNA
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Credential | MD
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Telephone | 813-931-2366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0068445
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License Number State | FL
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