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General NPI Number Information
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NPI Number | 1780835082
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Entity Type | Organization
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Legal Business Name | MARY LEE JOSEY MD PA
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 508 S HABANA AVE SUITE 350
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City | TAMPA
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State | FL
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Zip | 33609
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Country | US
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Telephone | 813-873-1426
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Fax |
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Provider Business Mailing Address
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Address Line | 508 S HABANA AVE SUITE 350
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City | TAMPA
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State | FL
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Zip | 33609
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Country | US
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Telephone | 813-873-1426
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARY LEE JOSEY
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Credential | M.D., P.A.
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Telephone | 813-873-1426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME0053792
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License Number State | FL
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