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General NPI Number Information
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NPI Number | 1194282756
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CENTERS OF PINELLAS INC.
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Dates
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Enumeration Date | 03/01/2019
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 26286 US HIGHWAY 19 N STE B
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City | CLEARWATER
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State | FL
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Zip | 33761-4506
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Country | US
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Telephone | 727-824-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 14100 58TH ST N STE 100
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City | CLEARWATER
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State | FL
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Zip | 33760-9900
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Country | US
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Telephone | 727-824-8181
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Fax |
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Authorized Official
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Title or Position | CHIEF REGULATORY OFFICER
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Name | EDWARD KUCHER
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Credential |
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Telephone | 727-824-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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