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NPI 1154399749

NPI 1154399749 : OHI WEST, INC : ST PETERSBURG, FL

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General NPI Number Information
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    NPI Number           |    1154399749
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    Entity Type          |    Organization 
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    Legal Business Name  |    OHI WEST, INC 
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Dates
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    Enumeration Date     |    03/09/2006
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    701 6TH ST S 
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    City                 |    ST PETERSBURG
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    State                |    FL
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    Zip                  |    33701-4814
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    Country              |    US
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    Telephone            |    727-823-1234
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    Fax                  |    727-893-6085
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Provider Business Mailing Address
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    Address Line         |    701 6TH ST S 
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    City                 |    ST PETERSBURG
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    State                |    FL
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    Zip                  |    33701-4814
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    Country              |    US
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    Telephone            |    727-823-1234
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    Fax                  |    727-893-6085
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Authorized Official
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    Title or Position    |    AVP
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    Name                 |     MICHAEL  STUBEE 
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    Credential           |    
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    Telephone            |    407-481-7156
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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       |    4303
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    License Number State |    FL
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