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General NPI Number Information
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NPI Number | 1861484966
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Entity Type | Individual
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Provider Name | NORBERT NICHOLAS ENGELMAN III D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 1115 FLORIDA AVE
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City | PALM HARBOR
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State | FL
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Zip | 34683-4312
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Country | US
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Telephone | 727-259-2300
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Fax | 727-548-1360
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Provider Business Mailing Address
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Address Line | 1745 S HIGHLAND AVE
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City | CLEARWATER
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State | FL
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Zip | 33756-1852
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Country | US
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Telephone | 727-767-0955
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Fax | 727-587-0527
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS6151
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License Number State | FL
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