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General NPI Number Information
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NPI Number | 1669001095
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Entity Type | Individual
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Provider Name | KOTSCHAI HEMAT
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Gender | Female
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 01/26/2025
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Provider Practice Location Address
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Address Line | 4446 E FLETCHER AVE
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City | TAMPA
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State | FL
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Zip | 33613-4942
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Country | US
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Telephone | 813-797-5907
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Fax |
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Provider Business Mailing Address
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Address Line | 4446 E FLETCHER AVE
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City | TAMPA
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State | FL
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Zip | 33613-4942
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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 |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN27849
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License Number State | FL
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