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General NPI Number Information
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NPI Number | 1114020401
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Entity Type | Organization
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Legal Business Name | G.A. FOOD SERVICES OF PINELLAS COUNTY, LLC
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 12200 32ND COURT N.
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City | ST. PETERSBURG
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State | FL
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Zip | 33716-1847
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Country | US
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Telephone | 727-573-2211
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Fax | 727-572-8209
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Provider Business Mailing Address
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Address Line | 12200 32ND COURT N.
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City | ST. PETERSBURG
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State | FL
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Zip | 33716-1847
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Country | US
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Telephone | 727-828-8585
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Fax | 727-571-1652
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER & GC
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Name | DEBRA SILVERS
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Credential |
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Telephone | 727-828-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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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 | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number | CAT62-8770
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License Number State | FL
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