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General NPI Number Information
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NPI Number | 1194794792
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Entity Type | Individual
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Provider Name | CHRISTOPHER M INGLESE M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 601 5TH ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4804
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Country | US
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Telephone | 727-767-8181
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Fax | 727-767-2590
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Provider Business Mailing Address
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Address Line | 601 5TH ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4804
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Country | US
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Telephone | 727-767-8181
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Fax | 727-767-2590
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 32960
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 52772
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | ME118043
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License Number State | FL
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