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General NPI Number Information
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NPI Number | 1003834508
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Entity Type | Organization
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Legal Business Name | CITRUS MEMORIAL HEALTH FOUNDATION INC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 10/18/2007
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Provider Practice Location Address
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Address Line | 502 W HIGHLAND BLVD
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City | INVERNESS
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State | FL
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Zip | 34452-4720
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Country | US
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Telephone | 352-344-6481
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Fax | 352-344-3920
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Provider Business Mailing Address
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Address Line | 502 W HIGHLAND BLVD
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City | INVERNESS
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State | FL
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Zip | 34452-4720
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Country | US
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Telephone | 352-344-6481
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Fax | 352-344-3920
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Authorized Official
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Title or Position | PRESIDENT, CHIEF EXECUTIVE OFFICER
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Name | RYAN D. BEATY
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Credential | C.E.O.
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Telephone | 352-344-7650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 4233
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License Number State | FL
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