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General NPI Number Information
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NPI Number | 1548598550
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Entity Type | Organization
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Legal Business Name | BLUE SAIL MEDIA
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Dates
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Enumeration Date | 12/02/2009
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Last Update Date | 12/02/2009
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Provider Practice Location Address
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Address Line | 6316 W MACLAURIN DR
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City | TAMPA
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State | FL
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Zip | 33647-1162
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Country | US
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Telephone | 813-443-4800
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Fax | 813-866-3320
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Provider Business Mailing Address
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Address Line | 6316 W MACLAURIN DR
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City | TAMPA
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State | FL
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Zip | 33647-1162
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Country | US
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Telephone | 813-443-4800
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Fax | 813-866-3320
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Authorized Official
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Title or Position | TREASURER
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Name | MRS. STEFFENIE K MURNANE
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Credential |
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Telephone | 813-443-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 231346
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | 231346
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License Number State | FL
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