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General NPI Number Information
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NPI Number | 1144910316
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Entity Type | Organization
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Legal Business Name | TAMPA GENERAL MEDICAL GROUP INC
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 959 E DEL WEBB BLVD
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-6669
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Country | US
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Telephone | 813-821-8044
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Fax | 813-821-8369
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Provider Business Mailing Address
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Address Line | PO BOX 1289
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City | TAMPA
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State | FL
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Zip | 33601-1289
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Country | US
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Telephone | 813-844-3956
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Fax |
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Authorized Official
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Title or Position | VP HEALTHCARE DESIGN
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Name | PETER TRAVIS RIAD CHANG
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Credential |
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Telephone | 813-844-3956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC3500X
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Taxonomy Name | Cardiac Rehabilitation Registered Nurse
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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