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General NPI Number Information
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NPI Number | 1447345541
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Entity Type | Organization
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Legal Business Name | CLEARWATER HEMATOLOGY ONCOLOGY ASSOC PA
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 303 PINELLAS STREET SUITE 330
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City | CLEARWATER
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State | FL
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Zip | 33756-3809
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Country | US
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Telephone | 727-447-8100
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Fax | 727-461-2603
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Provider Business Mailing Address
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Address Line | 303 PINELLAS ST SUITE 330
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City | CLEARWATER
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State | FL
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Zip | 33756-3809
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Country | US
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Telephone | 727-447-8100
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Fax | 727-461-2603
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Authorized Official
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Title or Position | PRESIDENT
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Name | HITESH C PATEL
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Credential | M.D.
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Telephone | 727-447-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP 1435602
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME 59034
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License Number State | FL
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