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General NPI Number Information
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NPI Number | 1255439592
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Entity Type | Organization
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Legal Business Name | TERRENCE T HOPKINS MD, PA
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6011 CORTEZ RD W
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City | BRADENTON
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State | FL
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Zip | 34210-2709
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Country | US
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Telephone | 941-792-5040
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Fax | 941-792-5026
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Provider Business Mailing Address
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Address Line | 6011 CORTEZ RD W
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City | BRADENTON
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State | FL
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Zip | 34210-2709
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Country | US
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Telephone | 941-792-5040
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Fax | 941-792-5026
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TERRENCE T HOPKINS
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Credential | MD
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Telephone | 941-792-5040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0068372
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License Number State | FL
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