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General NPI Number Information
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NPI Number | 1992748610
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Entity Type | Individual
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Provider Name | REINHARD E ROTT MD-MBA
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Gender | Male
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 8793 N 56TH ST
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-6201
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Country | US
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Telephone | 844-665-4827
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Fax |
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Provider Business Mailing Address
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Address Line | 5340 W KENNEDY BLVD UNIT 336
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City | TAMPA
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State | FL
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Zip | 33609-2413
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Country | US
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Telephone | 813-280-9498
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Fax | 866-781-6648
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 30464
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME0064432
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License Number State | FL
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