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General NPI Number Information
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NPI Number | 1790122380
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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 | 05/23/2013
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Last Update Date | 05/23/2013
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Provider Practice Location Address
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Address Line | 4117 E FOWLER AVE
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City | TAMPA
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State | FL
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Zip | 33617-2011
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Country | US
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Telephone | 813-745-4746
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Fax |
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Provider Business Mailing 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 |
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Fax |
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Authorized Official
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Title or Position | SVP CHIEF FINANCIAL OFFICER
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Name | JANENE CULUMBER
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Credential |
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Telephone | 813-745-1329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 281P00000X
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Taxonomy Name | Chronic Disease Hospital
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License Number |
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License Number State |
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