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General NPI Number Information
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NPI Number | 1477561769
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Entity Type | Organization
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Legal Business Name | RADIOLOGY ASSOCIATES OF TARPON SPRINGS PA
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 7183 66TH ST N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-4004
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Country | US
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Telephone | 727-209-1241
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Fax | 727-498-8133
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Provider Business Mailing Address
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Address Line | 7183 66TH ST N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-4004
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Country | US
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Telephone | 727-209-1241
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Fax | 727-498-8133
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. PAT BARMORE
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Credential |
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Telephone | 727-209-1241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME00475600
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License Number State | FL
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