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General NPI Number Information
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NPI Number | 1366452179
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Entity Type | Organization
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Legal Business Name | PINELLAS CRISIS PREGNANCY CENTER
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8001 66TH ST
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City | PINELLAS PARK
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State | FL
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Zip | 33781-2108
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Country | US
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Telephone | 727-545-8100
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Fax | 727-548-4357
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Provider Business Mailing Address
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Address Line | 8001 66TH ST
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City | PINELLAS PARK
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State | FL
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Zip | 33781-2108
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Country | US
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Telephone | 727-545-8100
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Fax | 727-548-4357
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. EMMANUEL JOHNSON
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Credential | MD
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Telephone | 727-545-8100
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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 | ME84606
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License Number State | FL
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