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NPI 1982957387

NPI 1982957387 : AREA AGENCY ON AGING OF PASCO-PINELLAS, INC : ST PETERSBURG, FL

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General NPI Number Information
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    NPI Number           |    1982957387
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    Entity Type          |    Organization 
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    Legal Business Name  |    AREA AGENCY ON AGING OF PASCO-PINELLAS, INC 
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Dates
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    Enumeration Date     |    10/23/2012
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    Last Update Date     |    12/18/2024
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Provider Practice Location Address
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    Address Line         |    9549 KOGER BLVD. SUITE 100
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    City                 |    ST PETERSBURG
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    State                |    FL
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    Zip                  |    33702-2455
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    Country              |    US
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    Telephone            |    727-570-9696
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    Fax                  |    727-217-7733
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Provider Business Mailing Address
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    Address Line         |    9549 KOGER BLVD. SUITE 100
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    City                 |    ST PETERSBURG
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    State                |    FL
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    Zip                  |    33702-2455
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    Country              |    US
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    Telephone            |    727-570-9696
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    Fax                  |    727-217-7733
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     ANN MARIE  WINTER 
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    Credential           |    
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    Telephone            |    727-570-9696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251V00000X
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    Taxonomy Name        |    Voluntary or Charitable Agency
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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        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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