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General NPI Number Information
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NPI Number | 1679953632
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Entity Type | Individual
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Provider Name | HANNAH BROMBERG DO
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Gender | Female
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Dates
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Enumeration Date | 06/04/2015
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 12902 USF MAGNOLIA DR
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City | TAMPA
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State | FL
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Zip | 33612-9416
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Country | US
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Telephone | 813-745-4630
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 198441
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City | ATLANTA
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State | GA
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Zip | 30384-8441
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Country | US
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Telephone | 813-745-7365
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Fax | 813-449-8618
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | OS16020
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | OS16020
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License Number State | FL
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