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General NPI Number Information
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NPI Number | 1194016006
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Entity Type | Organization
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Legal Business Name | TAMPA CARDIAC SPECIALISTS LLC
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | 4211 VAN DYKE RD SUITE 205
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City | LUTZ
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State | FL
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Zip | 33558-8002
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Country | US
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Telephone | 813-229-9292
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Fax | 813-229-9293
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Provider Business Mailing Address
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Address Line | PO BOX 18036
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City | TAMPA
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State | FL
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Zip | 33679-8036
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Country | US
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Telephone | 813-229-9292
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Fax | 813-229-9293
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Authorized Official
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Title or Position | MANAGER
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Name | DR. KEVIN MAKATI
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Credential | MD
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Telephone | 813-229-9292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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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 | 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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