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General NPI Number Information
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NPI Number | 1811979636
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Entity Type | Individual
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Provider Name | MICHAEL DAVID SLOMKA M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 03/02/2020
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Provider Practice Location Address
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Address Line | 6500 66TH ST
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City | PINELLAS PARK
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State | FL
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Zip | 33781-5030
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Country | US
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Telephone | 727-347-1286
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Fax | 727-345-3084
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Provider Business Mailing Address
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Address Line | 7993 10TH AVE S0
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City | ST PETERSBURG
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State | FL
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Zip | 33707
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Country | US
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Telephone | 727-458-6703
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Fax | 727-344-3048
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME21558
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License Number State | FL
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