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General NPI Number Information
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NPI Number | 1780653618
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Entity Type | Organization
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Legal Business Name | H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 12902 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 | 813-745-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 12902 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 | 813-745-4673
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VP COO
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Name | MR. SARABDEEP SINGH
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Credential |
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Telephone | 813-745-7222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 4334
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License Number State | FL
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