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General NPI Number Information
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NPI Number | 1861200644
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Entity Type | Organization
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Legal Business Name | ST MEDICAL NURSING SERVICES
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Dates
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Enumeration Date | 12/25/2024
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Last Update Date | 12/25/2024
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Provider Practice Location Address
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Address Line | 1513 S WASHINGTON AVE APT B
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City | CLEARWATER
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State | FL
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Zip | 33756-2145
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Country | US
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Telephone | 800-468-7834
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Fax | 800-468-7834
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Provider Business Mailing Address
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Address Line | 1122 VERNON ST
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City | CLEARWATER
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State | FL
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Zip | 33756-2142
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Country | US
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Telephone | 800-468-7834
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Fax | 800-468-7834
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Authorized Official
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Title or Position | HEALTHCARE PROVIDER
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Name | SABRINA MICHELLE TISDALE
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Credential |
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Telephone | 800-468-7834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 174200000X
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Taxonomy Name | Meals Provider
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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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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