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General NPI Number Information
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NPI Number | 1952001349
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Entity Type | Individual
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Provider Name | ROBERT TANG BAU
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Gender | Male
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 410 S WARE BLVD STE 607
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City | TAMPA
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State | FL
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Zip | 33619-8402
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Country | US
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Telephone | 305-209-4966
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Fax | 786-705-7942
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Provider Business Mailing Address
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Address Line | 12247 CATTLESIDE DR
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City | RIVERVIEW
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State | FL
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Zip | 33579-6883
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Country | US
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Telephone | 786-325-7643
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Fax | 786-705-7942
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11025031
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11025031
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License Number State | FL
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