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General NPI Number Information
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NPI Number | 1104904234
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Entity Type | Organization
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Legal Business Name | TAMPA BAY FIRST ASSIST
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 7920 CITRUS BLOSSOM DR
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City | LAND O LAKES
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State | FL
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Zip | 34637-7477
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Country | US
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Telephone | 813-300-5832
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Fax |
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Provider Business Mailing Address
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Address Line | 7920 CITRUS BLOSSOM DR
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City | LAND O LAKES
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State | FL
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Zip | 34637-7477
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Country | US
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Telephone | 813-300-5832
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM MARTIN CAMPBELL SR.
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Credential | RNFA
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Telephone | 813-300-5832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | RN2148562
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License Number State | FL
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