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General NPI Number Information
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NPI Number | 1487183968
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Entity Type | Individual
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Provider Name | BALDEEP SINGH MANN MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 701 6TH ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4814
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Country | US
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Telephone | 813-474-9804
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Fax | 813-540-6025
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Provider Business Mailing Address
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Address Line | 203 N MARION ST
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City | TAMPA
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State | FL
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Zip | 33602-4914
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Country | US
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Telephone | 813-474-9804
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Fax | 813-540-6025
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME142852
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-12549
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | ME142852
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License Number State | FL
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