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NPI 1790673960

NPI 1790673960 : MUSCULOSKELETAL INSTITUTE CHARTERED : LAND O LAKES, FL

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General NPI Number Information
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    NPI Number           |    1790673960
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    Entity Type          |    Organization 
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    Legal Business Name  |    MUSCULOSKELETAL INSTITUTE CHARTERED 
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Dates
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    Enumeration Date     |    06/26/2025
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    Last Update Date     |    06/26/2025
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Provider Practice Location Address
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    Address Line         |    17907 APRILE DR STE 125 
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    City                 |    LAND O LAKES
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    State                |    FL
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    Zip                  |    34638-4919
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    Country              |    US
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    Telephone            |    813-978-9700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5901 E FOWLER AVE STE 100 
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    City                 |    TEMPLE TERRACE
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    State                |    FL
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    Zip                  |    33617-2305
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    Country              |    US
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    Telephone            |    813-978-9700
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     RAVI S. CHARI 
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    Credential           |    MD
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    Telephone            |    615-579-2733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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