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General NPI Number Information
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NPI Number | 1437749306
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Entity Type | Individual
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Provider Name | TARIKA KRISHNAMURTHY PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/24/2021
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 6600 UNIVERSITY PKWY STE 302
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City | SARASOTA
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State | FL
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Zip | 34240-9048
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Country | US
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Telephone | 941-800-5001
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Fax | 941-800-5012
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Provider Business Mailing Address
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Address Line | PO BOX 23329
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City | NEW YORK
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State | NY
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Zip | 10087-3329
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Country | US
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Telephone |
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Fax | 410-883-0876
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9120998
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License Number State | FL
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