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NPI 1003004862

NPI 1003004862 : VIRGINIA ANN SCHEKORRA PA : PINELLAS PARK, FL

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General NPI Number Information
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    NPI Number           |    1003004862
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    Entity Type          |    Organization 
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    Legal Business Name  |    VIRGINIA ANN SCHEKORRA PA 
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Dates
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    Enumeration Date     |    10/05/2007
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    Last Update Date     |    09/14/2009
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Provider Practice Location Address
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    Address Line         |    6020 PARK BLVD 
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    City                 |    PINELLAS PARK
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    State                |    FL
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    Zip                  |    33781-3228
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    Country              |    US
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    Telephone            |    727-548-9196
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    Fax                  |    727-545-4678
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Provider Business Mailing Address
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    Address Line         |    6020 PARK BLVD 
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    City                 |    PINELLAS PARK
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    State                |    FL
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    Zip                  |    33781-3228
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    Country              |    US
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    Telephone            |    727-548-9196
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    Fax                  |    727-545-4678
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. VIRGINIA A SCHEKORRA 
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    Credential           |    DO, PA
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    Telephone            |    727-548-9196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    OS0005747
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    License Number State |    FL
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