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General NPI Number Information
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NPI Number | 1295106870
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Entity Type | Organization
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Legal Business Name | ST. ANTHONYS HOSPITAL, INC.
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Dates
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Enumeration Date | 10/08/2015
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Last Update Date | 10/09/2015
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Provider Practice Location Address
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Address Line | 1200 7TH AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-1300
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Country | US
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Telephone | 727-825-1100
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Fax | 727-825-1230
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Provider Business Mailing Address
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Address Line | 1200 7TH AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-1300
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Country | US
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Telephone | 727-825-1100
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Fax | 727-825-1230
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Authorized Official
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Title or Position | PRESIDENT
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Name | GLENN WATERS
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Credential |
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Telephone | 727-462-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 4215
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License Number State | FL
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