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General NPI Number Information
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NPI Number | 1972697944
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Entity Type | Organization
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Legal Business Name | TAMPA ORTHOPEDIC CLINIC,LLP
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 21756 STATE ROAD 54 STE 102A
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City | LUTZ
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State | FL
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Zip | 33549-2905
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Country | US
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Telephone | 813-977-4767
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Fax | 813-977-6275
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Provider Business Mailing Address
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Address Line | 21756 STATE ROAD 54 STE 102A
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City | LUTZ
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State | FL
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Zip | 33549-2905
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Country | US
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Telephone | 813-977-4767
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Fax | 813-977-6275
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Authorized Official
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Title or Position | PARTNER
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Name | GEORGE R COMPANIONI
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Credential | MD
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Telephone | 813-977-4767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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