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General NPI Number Information
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NPI Number | 1629070917
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Entity Type | Organization
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Legal Business Name | LIFELINK FOUNDATION INC
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 9661 DELANEY CREEK BLVD
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City | TAMPA
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State | FL
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Zip | 33619-5121
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Country | US
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Telephone | 813-253-2640
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Fax | 813-253-8356
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Provider Business Mailing Address
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Address Line | 9661 DELANEY CREEK BLVD
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City | TAMPA
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State | FL
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Zip | 33619-5121
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Country | US
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Telephone | 813-253-2640
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Fax | 813-258-8356
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Authorized Official
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Title or Position | CFO
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Name | MR. PATRICK BRISLEY
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Credential |
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Telephone | 813-804-4525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 80001111
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License Number State | FL
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