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General NPI Number Information
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NPI Number | 1851753073
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Entity Type | Individual
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Provider Name | TYANN FLOORE-KLEIN
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Gender | Female
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Dates
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Enumeration Date | 03/26/2016
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 1700 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34239-3509
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Country | US
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Telephone | 941-917-7322
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34239-3509
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Country | US
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Telephone | 941-917-7322
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0102207280
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2021-01322
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | LL39782
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | OS21073
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License Number State | FL
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