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General NPI Number Information
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NPI Number | 1427429828
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Entity Type | Organization
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Legal Business Name | AKEL DENTAL OF TAMPA PLLC
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 10/12/2015
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Provider Practice Location Address
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Address Line | 2727 W DR MARTIN LUTHER KING JR BLVD SUITE 120
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City | TAMPA
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State | FL
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Zip | 33607-6383
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Country | US
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Telephone | 813-873-9100
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Fax | 813-873-9176
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Provider Business Mailing Address
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Address Line | 2727 W DR MARTIN LUTHER KING JR BLVD SUITE 120
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City | TAMPA
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State | FL
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Zip | 33607-6383
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Country | US
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Telephone | 813-873-9100
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Fax | 813-873-9176
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. AMIR AKEL
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Credential | DMD
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Telephone | 813-873-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN18012
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License Number State | FL
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