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General NPI Number Information
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NPI Number | 1245836378
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Entity Type | Individual
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Provider Name | VICTORIA TALLEY SCHOMP PA-C, RD
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Gender | Female
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 501 6TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33701-2307
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Country | US
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Telephone | 727-767-8562
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Fax |
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Provider Business Mailing Address
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Address Line | 9210 GRAND BLANC DR
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City | SEMINOLE
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State | FL
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Zip | 33777-4504
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Country | US
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Telephone | 727-458-2994
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9121476
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND7270
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License Number State | FL
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