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General NPI Number Information
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NPI Number | 1063715407
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Entity Type | Organization
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Legal Business Name | PINELLAS INFECTIOUS DISEASE PHYSICIANS PA
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Dates
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Enumeration Date | 12/07/2010
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Last Update Date | 06/10/2011
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Provider Practice Location Address
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Address Line | 300 PINELLAS ST
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City | CLEARWATER
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State | FL
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Zip | 33756-3804
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Country | US
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Telephone | 727-462-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1753 BELLEAIR FOREST DR APT D-4
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City | BELLEAIR
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State | FL
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Zip | 33756-7752
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Country | US
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Telephone | 718-666-1703
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZAHIRABANU S SHAIKH
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Credential | M.D.
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Telephone | 718-666-1703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME99036
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License Number State | FL
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