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General NPI Number Information
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NPI Number | 1659578938
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Entity Type | Organization
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Legal Business Name | PAUL F FOTI, MD, FCCP, PA
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1615 PASADENA AVE S SUITE 480
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City | SOUTH PASADENA
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State | FL
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Zip | 33707-4516
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Country | US
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Telephone | 727-347-5242
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Fax | 727-347-2402
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Provider Business Mailing Address
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Address Line | PO BOX 66405
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City | ST PETERSBURG
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State | FL
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Zip | 33736-6405
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Country | US
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Telephone | 727-347-5242
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Fax | 727-347-2402
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LAURIE L FOTI
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Credential |
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Telephone | 727-347-5242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME61531
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License Number State | FL
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