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General NPI Number Information
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NPI Number | 1356351860
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Entity Type | Individual
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Provider Name | JOETTE LYNNE GIOVINCO MD
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 12901 BRUCE B DOWNS BLVD
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City | TAMPA
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State | FL
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Zip | 33612-4742
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Country | US
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Telephone | 813-974-2201
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 917770
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City | ORLANDO
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State | FL
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Zip | 32891-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME53891
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | ME53891
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | ME0053891
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License Number State | FL
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