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General NPI Number Information
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NPI Number | 1992861785
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Entity Type | Organization
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Legal Business Name | NEW LUNG ASSOCIATES PA
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 12/10/2009
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Provider Practice Location Address
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Address Line | 5 TAMPA GENERAL CIRCLE HARBORSIDE TOWERS, SUITE 450
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City | TAMPA
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State | FL
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Zip | 33606-3589
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Country | US
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Telephone | 813-844-4634
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Fax | 813-631-1737
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Provider Business Mailing Address
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Address Line | 16057 TAMPA PALMS BLVD W BOX 409
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City | TAMPA
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State | FL
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Zip | 33647-2001
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Country | US
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Telephone | 813-844-4634
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Fax | 813-631-1737
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK W. ROLFE
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Credential | MD
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Telephone | 81238444634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME62408
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License Number State | FL
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