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General NPI Number Information
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NPI Number | 1528621810
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Entity Type | Individual
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Provider Name | LEA ANN BIAFORA RN
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Gender | Female
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Dates
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Enumeration Date | 04/22/2019
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Last Update Date | 04/22/2019
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Provider Practice Location Address
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Address Line | 725 16TH AVE NE
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City | SAINT PETERSBURG
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State | FL
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Zip | 33704-4805
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Country | US
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Telephone | 727-490-8777
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Fax | 855-737-2538
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Provider Business Mailing Address
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Address Line | 725 16TH AVE NE
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City | SAINT PETERSBURG
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State | FL
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Zip | 33704-4805
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Country | US
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Telephone | 727-490-8777
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Fax | 855-737-2538
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 9263228
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License Number State | FL
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