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General NPI Number Information
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NPI Number | 1245168582
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Entity Type | Organization
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Legal Business Name | TVG MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 15310 AMBERLY DR # 66
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City | TAMPA PALMS
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State | FL
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Zip | 33647-2199
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Country | US
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Telephone | 718-819-6144
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Fax | 718-819-6145
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Provider Business Mailing Address
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Address Line | 3611 14TH AVE STE 340
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City | BROOKLYN
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State | NY
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Zip | 11218-3750
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Country | US
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Telephone | 718-819-6144
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Fax | 718-819-6145
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JONATHAN GAMSS
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Credential |
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Telephone | 914-242-8318
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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 |
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License Number State |
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