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NPI 1619111622

NPI 1619111622 : FLORIDA CANCER INSTITUTE-NEW HOPE : NEW PORT RICHEY, FL

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General NPI Number Information
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    NPI Number           |    1619111622
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    Entity Type          |    Organization 
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    Legal Business Name  |    FLORIDA CANCER INSTITUTE-NEW HOPE 
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Dates
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    Enumeration Date     |    04/22/2009
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    Last Update Date     |    03/03/2010
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Provider Practice Location Address
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    Address Line         |    8763 RIVER CROSSING BLVD 
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    City                 |    NEW PORT RICHEY
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    State                |    FL
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    Zip                  |    34655-1112
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    Country              |    US
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    Telephone            |    727-842-8411
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    Fax                  |    727-847-2923
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Provider Business Mailing Address
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    Address Line         |    7324 LITTLE RD 
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    City                 |    NEW PORT RICHEY
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    State                |    FL
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    Zip                  |    34654-5518
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    Country              |    US
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    Telephone            |    727-484-7722
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    Fax                  |    727-484-7781
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. RICHARD R CARADONNA 
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    Credential           |    M.D.
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    Telephone            |    352-596-1926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RX0202X
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    Taxonomy Name        |    Medical Oncology 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        |    2085R0001X
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    Taxonomy Name        |    Radiation Oncology Physician
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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        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    
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    License Number State |    
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