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General NPI Number Information
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NPI Number | 1518233584
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Entity Type | Organization
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Legal Business Name | STEPHEN I RIFKIN MD PA
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Dates
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Enumeration Date | 03/23/2012
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Last Update Date | 03/23/2012
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Provider Practice Location Address
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Address Line | 2 TAMPA GENERAL CIR STE 6076
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City | TAMPA
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State | FL
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Zip | 33606-3603
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Country | US
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Telephone | 813-254-4272
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Fax | 813-642-5302
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Provider Business Mailing Address
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Address Line | 5035 W SAN MIGUEL ST
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City | TAMPA
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State | FL
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Zip | 33629-5428
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Country | US
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Telephone | 813-254-4272
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Fax | 813-642-5302
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN I RIFKIN
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Credential | MD
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Telephone | 813-254-4272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME15398
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License Number State | FL
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