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General NPI Number Information
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NPI Number | 1598054181
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Entity Type | Organization
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Legal Business Name | HEALTHCARE PRACTITIONERS, INC.
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Dates
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Enumeration Date | 04/04/2011
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 1421 S EVERGREEN AVE
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City | CLEARWATER
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State | FL
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Zip | 33756-2212
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Country | US
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Telephone | 727-812-8584
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Fax |
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Provider Business Mailing Address
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Address Line | 1548 SOUTH MISSOURI AVENUE SUITE 128
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City | CLEARWATER
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State | FL
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Zip | 33756-2237
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT - CEO
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Name | MS. DENISE GISELE JACKS
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Credential | ARNP-C
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Telephone | 727-812-8584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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