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General NPI Number Information
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NPI Number | 1821298779
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Entity Type | Individual
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Provider Name | CHRISTOPHER G RESTREPO MD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 06/02/2023
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Provider Practice Location Address
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Address Line | 2502 W SAINT ISABEL ST
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City | TAMPA
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State | FL
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Zip | 33607-6318
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Country | US
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Telephone | 813-874-5707
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Fax |
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Provider Business Mailing Address
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Address Line | 2502 W SAINT ISABEL ST
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City | TAMPA
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State | FL
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Zip | 33607-6318
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Country | US
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Telephone | 813-874-5707
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD.30192
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD.30192
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | LL29779
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | ME115551
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License Number State | FL
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