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General NPI Number Information
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NPI Number | 1922961168
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Entity Type | Organization
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Legal Business Name | FLORIDA STATE UNIVERSITY
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1115 W. CALL STREET, MRB 1320 FLORIDA STATE UNIVERSITY, COLLEGE OF MEDICINE
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City | TALLAHASSEE
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State | FL
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Zip | 32306
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Country | US
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Telephone | 850-644-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 W CALL STREET MRB 2350J FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
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City | TALLAHASSEE
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State | FL
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Zip | 32306-0001
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Country | US
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Telephone | 850-645-8491
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Fax |
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Authorized Official
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Title or Position | FACULTY
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Name | CYNTHIA VIED
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Credential | PHD
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Telephone | 850-645-8491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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