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General NPI Number Information
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NPI Number | 1326740937
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Entity Type | Organization
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Legal Business Name | TAMPA ENDOCRINOLOGY INSTITUTE, LLC
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 2111 W SWANN AVE STE 204
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City | TAMPA
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State | FL
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Zip | 33606-2478
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Country | US
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Telephone | 813-360-1214
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Fax |
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Provider Business Mailing Address
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Address Line | 57 AEGEAN AVE
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City | TAMPA
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State | FL
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Zip | 33606-3342
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Country | US
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Telephone | 813-360-1214
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASMA AL-ZOUGBI
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Credential | MD
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Telephone | 813-335-4939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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