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General NPI Number Information
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NPI Number | 1063877181
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Entity Type | Organization
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Legal Business Name | ALL CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 12/16/2015
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Provider Practice Location Address
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Address Line | 501 6TH AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4634
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Country | US
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Telephone | 727-767-4101
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Fax |
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Provider Business Mailing Address
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Address Line | 501 6TH AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4634
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, ADVANCED PRACTICE PROVIDE
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Name | COURTNEY ROBINSON
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Credential | MSN
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Telephone | 727-767-4101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | ARNP3347502
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License Number State | FL
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