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General NPI Number Information
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NPI Number | 1629375084
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Entity Type | Organization
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Legal Business Name | TAMPA BAY HEALTH GROUP CORP
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Dates
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Enumeration Date | 02/22/2011
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Last Update Date | 02/22/2011
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Provider Practice Location Address
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Address Line | 2727 W DR MARTIN LUTHER KING JR BLVD SUITE 780
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City | TAMPA
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State | FL
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Zip | 33607-6383
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Country | US
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Telephone | 813-402-2888
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Fax | 813-402-2889
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Provider Business Mailing Address
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Address Line | 2727 W DR MARTIN LUTHER KING JR BLVD SUITE 780
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City | TAMPA
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State | FL
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Zip | 33607-6383
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Country | US
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Telephone | 813-402-2888
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Fax | 813-402-2889
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS I RHEE
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Credential | DC
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Telephone | 813-402-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | CH9769
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License Number State | FL
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