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General NPI Number Information
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NPI Number | 1831498120
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Entity Type | Organization
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Legal Business Name | EDUCATED PATIENT, LLC
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Dates
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Enumeration Date | 03/25/2011
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Last Update Date | 03/25/2011
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Provider Practice Location Address
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Address Line | 12450 ROOSEVELT BLVD N SUITE 303
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City | SAINT PETERSBURG
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State | FL
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Zip | 33716-1902
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Country | US
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Telephone | 727-369-8700
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Fax | 727-623-4845
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Provider Business Mailing Address
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Address Line | 12450 ROOSEVELT BLVD N SUITE 303
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City | SAINT PETERSBURG
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State | FL
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Zip | 33716-1902
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Country | US
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Telephone | 727-369-8700
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Fax | 727-623-4845
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Authorized Official
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Title or Position | EDUCATIONAL DIRECTOR
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Name | PROF. LOIS A SMITH-CZERVINSKE
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Credential | RN-BSN
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Telephone | 727-369-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | FL
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