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General NPI Number Information
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NPI Number | 1568621019
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Entity Type | Organization
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Legal Business Name | HILLSBOROUGH MEDICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 03/24/2009
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Provider Practice Location Address
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Address Line | 7519 PAULA DR
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City | TAMPA
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State | FL
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Zip | 33615-4113
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Country | US
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Telephone | 813-884-1478
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Fax | 813-884-1798
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Provider Business Mailing Address
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Address Line | 7519 PAULA DR
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City | TAMPA
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State | FL
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Zip | 33615-4113
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Country | US
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Telephone | 813-884-1478
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Fax | 813-884-1798
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DEBBIE A THOMAS
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Credential |
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Telephone | 813-884-1478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME47065
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License Number State | FL
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