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General NPI Number Information
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NPI Number | 1679467732
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Entity Type | Individual
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Provider Name | PABLO A FEIJOO TAPIA PA
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Gender | Male
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 7137 MIDWAY TER UNIT 2
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City | OCALA
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State | FL
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Zip | 34472-2870
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Country | US
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Telephone | 352-619-7412
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Fax |
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Provider Business Mailing Address
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Address Line | 7137 MIDWAY TER UNIT 2
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City | OCALA
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State | FL
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Zip | 34472-2870
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Country | US
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Telephone | 352-619-7412
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 002557
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | TPPA977
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License Number State | FL
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