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General NPI Number Information
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NPI Number | 1801424098
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Entity Type | Individual
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Provider Name | ELIZABETH AZIZ DO
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Gender | Female
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 621 MEDICAL CARE DR
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City | BRANDON
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State | FL
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Zip | 33511-5942
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Country | US
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Telephone | 813-657-3330
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Fax | 813-657-3348
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Provider Business Mailing Address
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Address Line | 4197 WOODLANDS PKWY
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City | PALM HARBOR
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State | FL
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Zip | 34685-3493
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Country | US
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Telephone | 813-333-1512
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Fax | 813-333-1561
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | OS21382
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License Number State | FL
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