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General NPI Number Information
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NPI Number | 1316690647
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Entity Type | Organization
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Legal Business Name | SUNCOAST PALLIATIVE CARE INC
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 2985 BREEZY MEADOWS DR
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City | CLEARWATER
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State | FL
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Zip | 33760-0002
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Country | US
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Telephone | 313-779-7685
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Fax |
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Provider Business Mailing Address
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Address Line | 1031 CAMBRIDGE SQ STE G
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City | ALPHARETTA
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State | GA
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Zip | 30009-1880
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Country | US
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Telephone | 470-633-0505
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DARRYL ROBINSON
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Credential |
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Telephone | 313-779-7685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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