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General NPI Number Information
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NPI Number | 1073483061
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Entity Type | Organization
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Legal Business Name | PCP - HEALTH PLLC
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 16954 TOLEDO BLADE BLVD
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City | PORT CHARLOTTE
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State | FL
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Zip | 33954-1674
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Country | US
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Telephone | 941-564-9009
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Fax | 941-629-6805
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 914-564-1038
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SANDRA MACSWEENEY
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Credential | FNP
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Telephone | 914-564-1038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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