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General NPI Number Information
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NPI Number | 1336016047
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Entity Type | Organization
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Legal Business Name | EXPRESS CLINICAL CARE LLC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 2202 N WEST SHORE BLVD STE 140
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City | TAMPA
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State | FL
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Zip | 33607-5759
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Country | US
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Telephone | 813-798-0300
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Fax | 727-290-4317
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Provider Business Mailing Address
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Address Line | 7853 GUNN HWY # 385
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City | TAMPA
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State | FL
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Zip | 33626-1611
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Country | US
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Telephone | 813-798-0300
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Fax | 727-290-4318
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DAVID B DEAN
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Credential | MD
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Telephone | 727-359-1171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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