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General NPI Number Information
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NPI Number | 1295964237
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Entity Type | Organization
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Legal Business Name | TAMER GOZLEVELI DO PA
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Dates
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Enumeration Date | 07/13/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1 SW 129TH AVE STE 109
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1716
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Country | US
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Telephone | 954-450-9595
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Fax | 877-671-4101
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Provider Business Mailing Address
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Address Line | 1 SW 129TH AVE SUITE 304
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1761
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Country | US
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Telephone | 954-450-9595
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Fax | 954-450-9774
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. GOKHAN GUVENLI
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Credential | MD
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Telephone | 954-450-9595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | ME83787
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License Number State | FL
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