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General NPI Number Information
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NPI Number | 1346489937
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Entity Type | Individual
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Provider Name | VYAS NARESH DAKE M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 8727 TEMPLE TERRACE HWY
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City | TEMPLE TERRACE
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State | FL
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Zip | 33637-6700
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Country | US
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Telephone | 813-796-5400
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Fax | 813-776-0079
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Provider Business Mailing Address
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Address Line | 8727 TEMPLE TERRACE HWY
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City | TEMPLE TERRACE
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State | FL
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Zip | 33637-6700
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Country | US
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Telephone | 813-796-5400
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Fax | 813-776-0079
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | BP10031137
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD2011-0207
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME152591
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License Number State | FL
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