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General NPI Number Information
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NPI Number | 1831454248
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Entity Type | Organization
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Legal Business Name | HOLY TRINITY COMMUNITY MEDICAL CENTER
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 09/17/2018
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Provider Practice Location Address
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Address Line | 4001 CONFEDERATE POINT RD SUITE # 2
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City | JACKSONVILLE
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State | FL
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Zip | 32210-5459
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Country | US
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Telephone | 904-908-0046
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Fax | 904-908-0329
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Provider Business Mailing Address
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Address Line | 4001 CONFEDERATE POINT RD SUITE # 2
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City | JACKSONVILLE
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State | FL
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Zip | 32210-5459
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Country | US
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Telephone | 904-908-0046
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Fax | 904-908-0329
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SHARON LISA ACEVEDO
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Credential | MD
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Telephone | 904-908-0046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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