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General NPI Number Information
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NPI Number | 1598067423
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Entity Type | Organization
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Legal Business Name | PATRICK M. TAMIM, M.D.
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 03/06/2015
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Provider Practice Location Address
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Address Line | 221 E 23RD ST SUITE E
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City | PANAMA CITY
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State | FL
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Zip | 32405-7612
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Country | US
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Telephone | 850-215-4996
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Fax | 850-215-6934
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Provider Business Mailing Address
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Address Line | 221 E 23RD ST SUITE E
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City | PANAMA CITY
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State | FL
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Zip | 32405-7612
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Country | US
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Telephone | 850-215-4996
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Fax | 850-215-6934
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK M TAMIM
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Credential | M.D.
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Telephone | 850-215-4996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME98003
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License Number State | FL
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