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General NPI Number Information
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NPI Number | 1902268626
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Entity Type | Individual
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Provider Name | PIOTR TOMASZ TEKIELA M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 11215 METRO PKWY STE 1
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City | FORT MYERS
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State | FL
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Zip | 33966-1206
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Country | US
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Telephone | 239-208-2212
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Fax | 239-935-5067
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-208-2215
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Fax | 239-935-5067
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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 | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 88968
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 11843884-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2025037469
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 11843884-1205
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License Number State | UT
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME165404
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 35.149440
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License Number State | OH
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