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General NPI Number Information
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NPI Number | 1205569233
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Entity Type | Organization
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Legal Business Name | TRANSITIONAL PAIN & SPECIALTY GROUP
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 1307 W KENNEDY BLVD
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City | TAMPA
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State | FL
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Zip | 33606-1848
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Country | US
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Telephone | 813-495-5567
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Fax |
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Provider Business Mailing Address
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Address Line | 23110 STATE ROAD 54 STE 446
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City | LUTZ
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State | FL
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Zip | 33549-6933
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Country | US
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Telephone | 813-295-6809
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHA SUTARIA
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Credential |
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Telephone | 813-295-6809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | 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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation 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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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