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General NPI Number Information
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NPI Number | 1881653996
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Entity Type | Organization
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Legal Business Name | TAMPA BAY ONCOLOGY CENTER, INC.
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 1835 INDIAN ROCKS RD S
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City | LARGO
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State | FL
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Zip | 33774-1030
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Country | US
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Telephone | 727-586-2273
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Fax | 727-584-5966
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Provider Business Mailing Address
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Address Line | 1835 INDIAN ROCKS RD S
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City | LARGO
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State | FL
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Zip | 33774-1030
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Country | US
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Telephone | 727-586-2273
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Fax | 727-584-5966
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | NICHOLAS MASON
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Credential | PHD.
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Telephone | 727-586-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | HCC4434
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License Number State | FL
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