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General NPI Number Information
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NPI Number | 1730997230
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Entity Type | Organization
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Legal Business Name | AFFINITY CARE OF HILLSBOROUGH LLC
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 4510 OAK FAIR BLVD STE 130
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City | TAMPA
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State | FL
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Zip | 33610-7346
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Country | US
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Telephone | 813-535-7711
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Fax | 813-433-5102
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Provider Business Mailing Address
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Address Line | 4510 OAK FAIR BLVD STE 130
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City | TAMPA
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State | FL
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Zip | 33610-7346
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Country | US
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Telephone | 813-535-7711
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Fax | 813-433-5102
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Authorized Official
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Title or Position | CEO
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Name | SAMUEL STERN
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Credential |
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Telephone | 510-499-9977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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