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General NPI Number Information
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NPI Number | 1417650714
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Entity Type | Organization
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Legal Business Name | SUNCOAST PALLIATIVE CARE AND WOUND HEALING, INC
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Dates
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Enumeration Date | 03/24/2023
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 6719 GALL BLVD STE 203
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-2569
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Country | US
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Telephone | 813-957-8730
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Fax | 813-212-2824
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Provider Business Mailing Address
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Address Line | 10335 CROSS CREEK BLVD # H20
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City | TAMPA
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State | FL
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Zip | 33647-2795
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Country | US
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Telephone | 813-957-8730
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Fax | 813-212-2824
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Authorized Official
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Title or Position | OWNER ADMINISTRATOR
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Name | SARA LARSON HUSSAIN
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Credential |
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Telephone | 813-957-8730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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