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General NPI Number Information
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NPI Number | 1619429495
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Entity Type | Organization
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Legal Business Name | CARUSO-DOERR INC.
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 5327 COMMERCIAL WAY STE B108
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City | SPRING HILL
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State | FL
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Zip | 34606-1499
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Country | US
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Telephone | 352-616-0233
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Fax | 352-616-0236
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Provider Business Mailing Address
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Address Line | 5327 COMMERCIAL WAY STE B108
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City | SPRING HILL
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State | FL
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Zip | 34606-1499
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Country | US
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Telephone | 352-616-0233
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Fax | 352-616-0236
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. STEPHEN M MITCHELL
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Credential | DO
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Telephone | 352-616-0233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | OS8846
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License Number State | FL
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