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General NPI Number Information
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NPI Number | 1598980690
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Entity Type | Organization
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Legal Business Name | TCORP INC
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2013 E JEFFERSON STREET
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City | ORLANDO
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State | FL
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Zip | 32803
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Country | US
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Telephone | 321-206-6308
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Fax | 407-574-5715
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Provider Business Mailing Address
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Address Line | 2013 E JEFFERSON STREET
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City | ORLANDO
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State | FL
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Zip | 32803
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Country | US
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Telephone | 321-206-6308
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Fax | 407-574-5715
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Authorized Official
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Title or Position | PRESIDENT ADMINISTRATOR
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Name | MR. TIMOTHY EDWARD DRABICK
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Credential |
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Telephone | 321-206-6308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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