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General NPI Number Information
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NPI Number | 1790774693
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Entity Type | Organization
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Legal Business Name | PRICE HOFFMAN STONE & ASSOCIATES MDS PA
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 747 6TH AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4509
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Country | US
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Telephone | 727-898-3647
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Fax | 727-823-3080
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Provider Business Mailing Address
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Address Line | DEPT AT 952404
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City | ATLANTA
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State | GA
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Zip | 31192-0001
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Country | US
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Telephone | 727-898-3647
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Fax | 727-823-3080
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. AARON GOODRUM
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Credential | MD
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Telephone | 727-898-3647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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