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General NPI Number Information
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NPI Number | 1548060213
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CENTERS OF PINELLAS INC.
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 26286 US HIGHWAY 19 N STE B-300
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City | CLEARWATER
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State | FL
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Zip | 33761-4506
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Country | US
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Telephone | 727-824-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 14100 58TH ST N STE 100
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City | CLEARWATER
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State | FL
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Zip | 33760-9900
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Country | US
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Telephone | 727-824-8184
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Fax |
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Authorized Official
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Title or Position | CHIEF REGULATORY OFFICER
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Name | EDWARD KUCHER
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Credential |
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Telephone | 727-824-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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