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General NPI Number Information
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NPI Number | 1487660247
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Entity Type | Organization
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Legal Business Name | SAINT PETERSBURG NEUROLOGY CLINIC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | SAINT PETERSBURG NEUROLOGY CLINIC 1099 5TH AVE. N. STE 300
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-1419
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Country | US
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Telephone | 727-820-7701
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Fax | 727-820-7700
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Provider Business Mailing Address
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Address Line | 1099 5TH AVE N STE. 300
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-1469
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Country | US
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Telephone | 727-820-7701
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Fax | 727-820-7700
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. MICHAEL A. FRANKLIN
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Credential | M.D.
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Telephone | 727-820-7701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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