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General NPI Number Information
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NPI Number | 1376342246
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Entity Type | Organization
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Legal Business Name | TARPON OPCO LLC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 5157 PARK CLUB DR
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City | SARASOTA
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State | FL
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Zip | 34235-1801
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Country | US
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Telephone | 941-377-0022
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Fax |
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Provider Business Mailing Address
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Address Line | 5157 PARK CLUB DR
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City | SARASOTA
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State | FL
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Zip | 34235-1801
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Country | US
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Telephone | 941-377-0022
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. JOSEF CUKIER
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Credential |
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Telephone | 732-200-1155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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