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General NPI Number Information
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NPI Number | 1336155233
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Entity Type | Individual
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Provider Name | CHRISTINE E LARSEN MD
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1200 7TH AVE N
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City | ST 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 | 727-896-3134
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Fax | 727-827-5155
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Provider Business Mailing Address
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Address Line | 800 2ND AVE S STE 340
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4206
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Country | US
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Telephone | 727-896-3134
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Fax | 727-827-5155
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | ME0064300
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | ME0064300
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | ME0064300
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME0064300
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | ME0064300
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | ME0064300
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License Number State | FL
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