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General NPI Number Information
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NPI Number | 1447369954
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Entity Type | Organization
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Legal Business Name | PULMONARY FUNCTION READERS OF CLEARWATER
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 613 S MYRTLE AVE
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City | CLEARWATER
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State | FL
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Zip | 33756-5615
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Country | US
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Telephone | 727-441-4526
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Fax | 727-461-3253
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Provider Business Mailing Address
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Address Line | 613 S MYRTLE AVE
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City | CLEARWATER
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State | FL
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Zip | 33756-5615
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Country | US
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Telephone | 727-441-4526
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Fax | 727-461-3253
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN BARRY TINSLEY
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Credential | M.D.
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Telephone | 727-441-4526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME51360
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License Number State | FL
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