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General NPI Number Information
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NPI Number | 1316521230
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Entity Type | Individual
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Provider Name | HUMAIRA MUNSHI
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Gender | Female
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Dates
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Enumeration Date | 05/06/2021
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 5420 LAND O LAKES BLVD STE 103
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City | LAND O LAKES
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State | FL
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Zip | 34639-3401
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Country | US
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Telephone | 813-601-1122
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Fax | 813-528-8997
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Provider Business Mailing Address
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Address Line | 8805 ROYAL ENCLAVE BLVD
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City | TAMPA
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State | FL
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Zip | 33626-4711
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Country | US
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Telephone | 704-309-2334
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN29933
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.026547
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License Number State | OH
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