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General NPI Number Information
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NPI Number | 1487995163
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Entity Type | Organization
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Legal Business Name | DIPASQUALE ENTERPRISES
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 27516 CASHFORD CIR SUITE 102
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6910
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Country | US
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Telephone | 727-755-1602
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Fax |
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Provider Business Mailing Address
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Address Line | 18719 HILLSTONE DR
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City | ODESSA
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State | FL
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Zip | 33556-4762
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Country | US
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Telephone | 813-792-7777
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BECKI DIPASQUALE
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Credential |
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Telephone | 813-792-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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