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General NPI Number Information
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NPI Number | 1992987200
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Entity Type | Organization
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Legal Business Name | TAMPA BAY INPATIENT MEDICINE PA
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 10/29/2019
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Provider Practice Location Address
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Address Line | 4102 N MACDILL AVE STE A
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City | TAMPA
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State | FL
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Zip | 33607-6717
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Country | US
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Telephone | 813-876-4900
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Fax | 813-876-4997
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Provider Business Mailing Address
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Address Line | PO BOX 271489
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City | TAMPA
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State | FL
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Zip | 33688-1489
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Country | US
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Telephone | 813-681-0340
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Fax | 813-961-2565
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAFAEL S RODRIGUEZ
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Credential | MD
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Telephone | 813-681-0340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | ME0081064
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License Number State | FL
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