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General NPI Number Information
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NPI Number | 1366743866
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Entity Type | Organization
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Legal Business Name | DEBRA HEMSATH, M.D., P.A.
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Dates
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Enumeration Date | 11/15/2010
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Last Update Date | 11/15/2010
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Provider Practice Location Address
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Address Line | 8787 BRYAN DAIRY RD SUITE 250
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City | LARGO
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State | FL
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Zip | 33777-1251
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Country | US
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Telephone | 727-581-1121
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Fax | 727-585-7357
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Provider Business Mailing Address
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Address Line | 8787 BRYAN DAIRY RD SUITE 250
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City | LARGO
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State | FL
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Zip | 33777-1251
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Country | US
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Telephone | 727-581-1121
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Fax | 727-585-7357
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEBRA HEMSATH
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Credential | M.D.
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Telephone | 727-581-1121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME50366
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License Number State | FL
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