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General NPI Number Information
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NPI Number | 1477460756
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Entity Type | Organization
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Legal Business Name | IBM MEDICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 1675 RIGGINS RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5315
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Country | US
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Telephone | 850-656-4800
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Fax | 850-656-4892
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Provider Business Mailing Address
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Address Line | 1019 N MONROE ST
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City | TALLAHASSEE
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State | FL
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Zip | 32303-6144
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Country | US
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Telephone | 850-656-4800
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Fax | 850-656-4892
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Authorized Official
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Title or Position | OWNER
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Name | MR. SHYAMAL CHANDRA BIR
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Credential | MD
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Telephone | 318-207-3555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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