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General NPI Number Information
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NPI Number | 1215215850
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Entity Type | Organization
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Legal Business Name | PAVITAR S.CHEEMA, M.D. PA
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Dates
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Enumeration Date | 08/01/2011
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Last Update Date | 08/01/2011
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Provider Practice Location Address
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Address Line | 38023 MEDICAL CENTER AVENUE
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City | ZEPHYRHILLS
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State | FL
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Zip | 33540-1384
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Country | US
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Telephone | 813-788-7641
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Fax | 813-782-1980
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Provider Business Mailing Address
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Address Line | 38023 MEDICAL CENTER AVE
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City | ZEPHYRHILLS
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State | FL
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Zip | 33540-1384
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Country | US
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Telephone | 813-788-7641
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Fax | 813-782-1980
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | PAVITAR S CHEEMA
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Credential | M.D.
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Telephone | 813-788-7641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 0038130
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License Number State | FL
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