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General NPI Number Information
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NPI Number | 1417344201
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Entity Type | Individual
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Provider Name | TALAT H ALMUKHTAR MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 09/24/2021
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Provider Practice Location Address
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Address Line | 500 VONDERBURG DR STE 204
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City | BRANDON
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State | FL
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Zip | 33511-5999
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Country | US
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Telephone | 813-681-7278
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Fax | 813-441-8903
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Provider Business Mailing Address
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Address Line | 500 VONDERBURG DRIVE SUITE 204; EAST TOWER BUILDING
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City | BRANDON
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State | FL
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Zip | 33511
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Country | US
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Telephone | 813-681-7278
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Fax | 813-441-8903
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME135263
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME135263
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License Number State | FL
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