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General NPI Number Information
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NPI Number | 1497085567
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Entity Type | Organization
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Legal Business Name | FPA SPECIALISTS, LLC
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Dates
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Enumeration Date | 01/12/2010
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 1033 DR MARTIN LUTHER KING JR ST N SUITE 108
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City | ST PETERSBURG
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State | FL
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Zip | 33701-1547
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Country | US
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Telephone | 727-456-4288
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Fax | 727-456-4289
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Provider Business Mailing Address
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Address Line | 1033 DR MARTIN LUTHER KING JR ST N SUITE 108
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City | ST PETERSBURG
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State | FL
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Zip | 33701-1547
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Country | US
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Telephone | 727-456-4288
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Fax | 727-456-4289
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALBERT M SALTIEL
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Credential | MD
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Telephone | 727-456-3288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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