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General NPI Number Information
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NPI Number | 1528066271
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Entity Type | Individual
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Provider Name | JAWAHAR LAL TAUNK MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 05/04/2017
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Provider Practice Location Address
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Address Line | 34041 US HIGHWAY 19 N SUITE A
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City | PALM HARBOR
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State | FL
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Zip | 34684-2648
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Country | US
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Telephone | 727-786-0017
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Fax | 727-786-7521
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Provider Business Mailing Address
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Address Line | 2410 NORTHSIDE DR
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City | CLEARWATER
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State | FL
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Zip | 33761-2236
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Country | US
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Telephone | 727-449-0353
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Fax | 727-781-3312
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME62630
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License Number State | FL
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