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General NPI Number Information
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NPI Number | 1962361709
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Entity Type | Organization
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Legal Business Name | PRECISION HEALTH TEAM PLLC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 17863 HUNTING BOW CIR STE 101
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City | LUTZ
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State | FL
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Zip | 33558-5395
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Country | US
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Telephone | 727-290-2061
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Fax |
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Provider Business Mailing Address
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Address Line | 13046 RACE TRACK RD STE 212
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City | TAMPA
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State | FL
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Zip | 33626-1302
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Country | US
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Telephone | 813-766-8753
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. SHAIVAL PRADIP THAKORE
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Credential | MD
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Telephone | 813-766-8753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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