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General NPI Number Information
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NPI Number | 1902845043
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Entity Type | Individual
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Provider Name | NOEL D TAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 2600 BRUCE B DOWNS BLVD
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9207
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Country | US
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Telephone | 813-929-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 BRUCE B DOWNS BLVD
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9207
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Country | US
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Telephone | 813-929-5000
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | ME71650
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | ME0071650
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License Number State | FL
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