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General NPI Number Information
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NPI Number | 1063417285
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Entity Type | Organization
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Legal Business Name | LARGO ENDOSCOPY CENTER LP
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 7300 BRYAN DAIRY ROAD SUITE 495
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City | LARGO
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State | FL
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Zip | 33777
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Country | US
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Telephone | 727-451-6780
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Fax | 727-451-6799
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Provider Business Mailing Address
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Address Line | 7300 BRYAN DAIRY ROAD SUITE 495
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City | LARGO
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State | FL
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Zip | 33777
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Country | US
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Telephone | 727-451-6780
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Fax | 727-451-6799
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NORA STRIFFOLINO
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Credential |
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Telephone | 727-451-6780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 1184
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 1184
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License Number State | FL
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