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General NPI Number Information
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NPI Number | 1912273012
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Entity Type | Individual
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Provider Name | TABATHA L RIOS M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2012
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 28516 STATE ROAD 54
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-3210
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Country | US
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Telephone | 813-815-8391
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Fax | 813-761-3347
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 305-500-2000
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36137078
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME138093
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License Number State | FL
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