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General NPI Number Information
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NPI Number | 1043354103
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Entity Type | Organization
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Legal Business Name | UNITED CEREBRAL PALSY OF SARASOTA-MANATEE, INC.
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1090 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34236-9116
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Country | US
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Telephone | 941-957-3599
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Fax |
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Provider Business Mailing Address
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Address Line | 1090 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34236-9116
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BOARD SECRETARY
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Name | DR. JAMES WEEKS
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Credential |
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Telephone | 305-273-3024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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