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General NPI Number Information
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NPI Number | 1043837297
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Entity Type | Organization
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Legal Business Name | KEY WEST HMA LLC
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 5900 COLLEGE RD
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City | KEY WEST
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State | FL
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Zip | 33040-4342
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Country | US
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Telephone | 305-294-5531
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 COLLEGE RD
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City | KEY WEST
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State | FL
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Zip | 33040-4342
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Country | US
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Telephone | 305-294-5531
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/DELEGATED OFFICIAL
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Name | PAULA LALOR
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Credential |
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Telephone | 629-215-3953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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