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General NPI Number Information
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NPI Number | 1417861634
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Entity Type | Organization
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Legal Business Name | JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC.
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 6075 WHITE EAGLE BLVD
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City | BRADENTON
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State | FL
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Zip | 34211-4146
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Country | US
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Telephone | 941-309-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 501 6TH ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4630
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Country | US
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Telephone | 727-767-3407
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Fax |
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Authorized Official
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Title or Position | PROVIDER ENROLLMENT
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Name | KELLY KINSLER
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Credential |
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Telephone | 727-767-3407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number |
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License Number State | NULL
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Taxonomy #5
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Taxonomy Code | 2080P0216X
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Taxonomy Name | Pediatric Rheumatology Physician
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License Number |
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License Number State | NULL
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