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General NPI Number Information
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NPI Number | 1801685888
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Entity Type | Organization
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Legal Business Name | TOAFS LLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 801 W DR MARTIN LUTHER KING JR BLVD
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City | TAMPA
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State | FL
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Zip | 33603-3321
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Country | US
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Telephone | 813-238-0411
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Fax |
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Provider Business Mailing Address
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Address Line | 3700 INGLESIDE BLVD
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City | LADSON
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State | SC
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Zip | 29456-4141
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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 | DIRECTOR REVENUE CYCLE MANAGEMENT
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Name | JACKIE HOLLOWAY
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Credential |
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Telephone | 854-200-7970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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