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General NPI Number Information
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NPI Number | 1780872648
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Entity Type | Organization
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Legal Business Name | WILLIAM T TRABULSI DPM PA
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 09/11/2012
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Provider Practice Location Address
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Address Line | 19013 N DALE MABRY HWY
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City | LUTZ
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State | FL
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Zip | 33548-9200
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Country | US
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Telephone | 813-406-4806
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Fax | 813-406-4807
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Provider Business Mailing Address
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Address Line | 19013 N DALE MABRY HWY
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City | LUTZ
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State | FL
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Zip | 33548-9200
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Country | US
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Telephone | 813-406-4806
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Fax | 813-406-4807
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. WILLIAM THEODORE TRABULSI
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Credential | DPM
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Telephone | 813-406-4806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO3124
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License Number State | FL
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