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General NPI Number Information
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NPI Number | 1629640313
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Entity Type | Organization
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Legal Business Name | CONTINENTAL LIFESTYLE MEDICINE, PLLC
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Dates
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Enumeration Date | 07/13/2021
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Last Update Date | 07/13/2021
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Provider Practice Location Address
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Address Line | 2672 1ST AVE S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33712-1108
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Country | US
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Telephone | 727-800-9705
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Fax | 727-800-9806
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Provider Business Mailing Address
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Address Line | 2672 1ST AVE S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33712-1108
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Country | US
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Telephone | 727-800-9705
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Fax | 727-800-9806
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARTHA DEL ROSARIO ALZAMORA
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Credential | MD
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Telephone | 727-800-9705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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