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General NPI Number Information
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NPI Number | 1124343009
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Entity Type | Organization
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Legal Business Name | CAROL ANN HESS MS MD PL
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Dates
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Enumeration Date | 04/02/2010
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Last Update Date | 09/12/2011
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Provider Practice Location Address
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Address Line | 10480 STRINGFELLOW RD SUITE 1
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City | ST JAMES CITY
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State | FL
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Zip | 33956-3227
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Country | US
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Telephone | 727-678-4377
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Fax |
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Provider Business Mailing Address
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Address Line | 10480 STRINGFELLOW RD SUITE 1
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City | ST JAMES CITY
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State | FL
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Zip | 33956-3227
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Country | US
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Telephone | 727-678-4377
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROL ANN HESS
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Credential | M.D.
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Telephone | 727-648-4377
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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 | ME83927
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License Number State | FL
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