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General NPI Number Information
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NPI Number | 1790154714
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Entity Type | Organization
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Legal Business Name | PINELLAS COUNTY PRIMARY CARE AND HOSPITALISTS PLLC
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Dates
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Enumeration Date | 09/21/2015
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Last Update Date | 07/14/2022
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Provider Practice Location Address
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Address Line | 516 LAKEVIEW RD SUITE#4
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City | CLEARWATER
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State | FL
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Zip | 33756-3302
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Country | US
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Telephone | 727-461-7908
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Fax | 727-223-5269
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Provider Business Mailing Address
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Address Line | 1007 JEFFORDS ST STE 101
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City | CLEARWATER
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State | FL
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Zip | 33756-4082
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Country | US
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Telephone | 727-461-7908
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Fax | 727-223-5269
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | KELLY CARLSON
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Credential |
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Telephone | 727-444-0407
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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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