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General NPI Number Information
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NPI Number | 1992998934
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Entity Type | Individual
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Provider Name | VIVEK VIJAY TIRMAL MD
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Gender | Male
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 5850 CORAL RIDGE DR STE 103C
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-3395
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Country | US
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Telephone | 954-250-3000
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Fax | 954-569-1288
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Provider Business Mailing Address
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Address Line | 5850 CORAL RIDGE DR STE 103C
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-3395
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Country | US
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Telephone | 954-250-3000
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Fax | 954-569-1288
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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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | ME121624
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 209800000X
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Taxonomy Name | Legal Medicine (M.D./D.O.) Physician
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License Number | ME121624
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License Number State | FL
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