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General NPI Number Information
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NPI Number | 1003273038
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Entity Type | Organization
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Legal Business Name | ALWAYS THERE FAMILY PRACTICE LLC
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 7007 GROVE RD
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City | BROOKSVILLE
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State | FL
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Zip | 34609-8610
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Country | US
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Telephone | 727-523-0525
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Fax |
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Provider Business Mailing Address
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Address Line | 2149 WATEROAK DR N
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City | CLEARWATER
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State | FL
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Zip | 33764-6656
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | HAROLD W HAWKINS
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Credential | MD
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Telephone | 727-523-0525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME83591
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License Number State | FL
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