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General NPI Number Information
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NPI Number | 1912861097
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Entity Type | Organization
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Legal Business Name | TALLAHASSEE ORTHOPEDIC CLINIC III, P.L.
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1002 N ARNOLD RD UNIT 201
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32413-2524
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Country | US
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Telephone | 850-877-8174
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Fax |
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Provider Business Mailing Address
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Address Line | 5901 E FOWLER AVE STE 100
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-2305
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RAVI S. CHARI
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Credential |
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Telephone | 615-579-2733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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