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General NPI Number Information
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NPI Number | 1982890935
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Entity Type | Organization
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Legal Business Name | C. RYAN KRAMPITZ PINELLAS CARE SYSTEMS, INC.
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Dates
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Enumeration Date | 09/23/2007
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Last Update Date | 09/23/2007
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Provider Practice Location Address
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Address Line | 1751 MISSISSIPPI AVE NE
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City | SAINT PETERSBURG
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State | FL
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Zip | 33703-3333
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Country | US
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Telephone | 727-525-8450
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Fax | 813-433-5114
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Provider Business Mailing Address
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Address Line | 1751 MISSISSIPPI AVE NE
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City | SAINT PETERSBURG
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State | FL
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Zip | 33703-3333
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Country | US
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Telephone | 727-525-8450
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Fax | 813-433-5114
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Authorized Official
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Title or Position | PRESIDENT
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Name | CLARENCE R KRAMPITZ
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Credential |
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Telephone | 727-710-1883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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