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General NPI Number Information
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NPI Number | 1649082322
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Entity Type | Individual
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Provider Name | PAMELA NICOLE MASSIE OD
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Gender | Female
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 10237 BAY PINES BLVD
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City | SAINT PETERSBURG
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State | FL
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Zip | 33708-3131
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Country | US
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Telephone | 727-202-3812
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Fax | 727-392-2358
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Provider Business Mailing Address
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Address Line | 9505 49TH ST N APT 2-330
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City | PINELLAS PARK
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State | FL
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Zip | 33782-5292
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 7755
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License Number State | FL
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