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General NPI Number Information
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NPI Number | 1235401498
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Entity Type | Organization
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Legal Business Name | A & E OF TAMPA BAY, LLC
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Dates
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Enumeration Date | 02/03/2012
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 2049 WELBILT BLVD
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City | TRINITY
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State | FL
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Zip | 34655
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Country | US
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Telephone | 727-934-1300
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Fax | 727-674-1886
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Provider Business Mailing Address
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Address Line | 2049 WELBILT BLVD
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City | TRINITY
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State | FL
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Zip | 34655
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Country | US
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Telephone | 727-940-3521
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Fax | 727-674-1886
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE HANNA
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Credential |
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Telephone | 727-744-9628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PH23208
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License Number State | FL
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