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General NPI Number Information
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NPI Number | 1184810384
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Entity Type | Organization
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Legal Business Name | EIHAB H TAWFIK MD PA
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 05/15/2014
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Provider Practice Location Address
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Address Line | 7562 W. GULF TO LAKE HIGHWAY
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429
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Country | US
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Telephone | 352-564-0444
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Fax | 352-564-4222
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Provider Business Mailing Address
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Address Line | 7394 W GULF TO LAKE HWY
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-7802
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Country | US
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Telephone | 352-564-0444
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Fax | 352-564-4222
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Authorized Official
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Title or Position | OWNER
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Name | DR. EIHAB H TAWFIK
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Credential | MD
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Telephone | 352-564-0444
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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 | FLME93322
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License Number State | FL
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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 | ME93322
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License Number State | FL
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