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General NPI Number Information
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NPI Number | 1881911717
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Entity Type | Individual
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Provider Name | AMIT K TANDON M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 2700 HEALING WAY STE 112
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-5453
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Country | US
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Telephone | 813-929-5226
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Fax | 813-929-5332
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Provider Business Mailing Address
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Address Line | 13067 N TELECOM PKWY
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City | TEMPLE TERRACE
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State | FL
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Zip | 33637-0926
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Country | US
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Telephone | 813-779-6303
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Fax | 786-868-0012
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME136435
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME136435
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License Number State | FL
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