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General NPI Number Information
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NPI Number | 1578952297
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Entity Type | Organization
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Legal Business Name | HCA
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Dates
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Enumeration Date | 01/19/2015
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Last Update Date | 01/19/2015
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Provider Practice Location Address
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Address Line | 235 3RD AVE N APT 200
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City | ST PETERSBURG
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State | FL
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Zip | 33701-3350
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Country | US
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Telephone | 732-642-9807
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Fax |
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Provider Business Mailing Address
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Address Line | 201 14TH ST SW
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City | LARGO
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State | FL
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Zip | 33770-3133
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Country | US
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Telephone | 727-588-5200
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | DR. KIRAN MIAN
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Credential | D.O.
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Telephone | 732-642-9807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | UO4237
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License Number State | FL
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