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General NPI Number Information
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NPI Number | 1649673872
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Entity Type | Organization
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Legal Business Name | TRI COUNTY PROFESSIONAL MANAGEMENT, INC
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 8100 COUNTY RD 44
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City | LEESBURG
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State | FL
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Zip | 34788-3704
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Country | US
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Telephone | 352-323-3314
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Fax |
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Provider Business Mailing Address
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Address Line | 8100 COUNTY RD 44
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City | LEESBURG
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State | FL
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Zip | 34788-3704
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AKRAM ISMAIL
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Credential | M.D.
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Telephone | 352-323-3314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME0064427
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License Number State | FL
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