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General NPI Number Information
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NPI Number | 1225085715
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Entity Type | Organization
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Legal Business Name | WEST COAST NEONATOLOGY, INC.
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 601 5TH ST S 5TH FLOOR
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City | ST PETERSBURG
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State | FL
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Zip | 33701
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Country | US
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Telephone | 727-767-4313
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Fax | 727-767-4391
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Provider Business Mailing Address
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Address Line | PO BOX 946298
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City | ATLANTA
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State | GA
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Zip | 30394-6298
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Country | US
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Telephone | 727-767-4378
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KRISTY ALICIA SCHULHOF
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Credential |
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Telephone | 727-898-7451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology 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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number |
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License Number State |
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