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General NPI Number Information
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NPI Number | 1174716955
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Entity Type | Organization
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Legal Business Name | BAYCARE ALLIANT HOSPITAL INC
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 11/21/2019
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Provider Practice Location Address
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Address Line | 601 MAIN ST MAILSTOP 402
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City | DUNEDIN
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State | FL
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Zip | 34698-5848
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Country | US
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Telephone | 727-734-6302
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Fax | 727-734-6486
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Provider Business Mailing Address
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Address Line | 601 MAIN ST MAILSTOP 402
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City | DUNEDIN
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State | FL
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Zip | 34698-5848
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Country | US
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Telephone | 727-281-9479
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Fax | 727-734-6486
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ANITA RUSSELL
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Credential | M.P.H
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Telephone | 727-734-6302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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