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General NPI Number Information
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NPI Number | 1972694198
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Entity Type | Organization
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Legal Business Name | TAMPA OBSTETRICS, P.A.
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 06/29/2008
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Provider Practice Location Address
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Address Line | 401 OAKFIELD DR
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City | BRANDON
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State | FL
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Zip | 33511-5710
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Country | US
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Telephone | 813-654-2273
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Fax | 813-654-1384
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Provider Business Mailing Address
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Address Line | 505 OAKFIELD DR
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City | BRANDON
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State | FL
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Zip | 33511-5700
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Country | US
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Telephone | 813-654-2273
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Fax | 813-654-1384
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. LINDA S. MAYO
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Credential |
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Telephone | 813-654-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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