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General NPI Number Information
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NPI Number | 1093724858
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Entity Type | Organization
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Legal Business Name | HEALTH CENTER OF IMPERIAL, INC.
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 02/04/2010
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Provider Practice Location Address
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Address Line | 900 IMPERIAL GOLF COURSE BLVD
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City | NAPLES
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State | FL
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Zip | 34110-1085
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Country | US
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Telephone | 239-591-4800
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Fax | 239-591-2197
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Provider Business Mailing Address
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Address Line | 900 IMPERIAL GOLF COURSE BLVD
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City | NAPLES
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State | FL
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Zip | 34110-1085
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Country | US
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Telephone | 239-591-4800
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Fax | 239-591-2197
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Authorized Official
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Title or Position | DIRECTOR
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Name | STEVE STRAWN
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Credential |
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Telephone | 615-217-2324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | SNF14710961
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License Number State | FL
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