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General NPI Number Information
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NPI Number | 1285896266
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Entity Type | Organization
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Legal Business Name | PURITY HEALTH CARE SERVICES
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 4000 38TH ST S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33711-4324
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Country | US
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Telephone | 727-289-3426
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Fax | 727-289-2204
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Provider Business Mailing Address
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Address Line | 4000 38TH ST S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33711-4324
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Country | US
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Telephone | 727-289-3426
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Fax | 727-289-2204
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. FAYE PEARCE
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Credential |
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Telephone | 727-289-3426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 230582
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License Number State | FL
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